Breast

Inverted nipples - correction

Inverted nipples mean that the nipple itself turns inward and does not come out naturally. Inverted nipples can be hereditary or it can be something that you develop over time. The condition can be worsened by breastfeeding, some people experience eczema or a collection of pus in the inverted nipple.

There are three degrees of inverted nipples, it is usually grade 3 (it is difficult to breastfeed), which has a good effect from such an intervention. This can be corrected by a relatively simple operation using a new method without cutting the milk ducts or without affecting the ability to breastfeed in women of childbearing age. The operation can be performed under local anesthesia, possibly with some sedation in addition.

We perform this procedure with a new technique where we make a central incision in the fibers that cause inverted nipples, peripherally in the nipple itself and avoid milk ducts for breastfeeding. Sometimes a small fat graft is done as support so that it does not retract again. Postoperatively, the nipples are pushed forward like a "small piercing" for 3-4 weeks, you can live completely normally during the process.

We have performed over 250 operations and we have published articles in the journal ASJ, as well as presented our results internationally as invited faculty (speaker). See attachment

– With our technique, which is used on patients of childbearing age, we do not cut milk ducts when the woman has milk ducts and glands that produce milk, then she should be able to breastfeed freely. In grade 3 and in a difficult grade 2 of inverted nipples, the woman cannot breastfeed, as the child is unable to grasp/get a suction hold on the nipple itself. In such a case, a correction of inverted nipples can help the woman still have the opportunity to breastfeed her child, something that initially should not have been possible.

We close the wound with stitches that dissolve on their own, or they may need to be removed after 10 days. Physical exercise and hard physical work should be postponed for 2 weeks. You will receive a custom, simple bandage cup that lifts the nipple, which you will wear for a few weeks. The bandage will be removed at a check-up with your doctor.

The scars become invisible as they are embedded in the wart itself. The operation does not provide grounds for sick leave. Recurrence/recurrence may occur, however, this depends on several factors. Recurrence is covered by our guarantee, which is correction up to one year after the operation.

Pick-up and accommodation

You must arrange in advance with someone to pick you up from the clinic approximately 1 hour after the surgery, as you cannot drive, take public transport or taxis on your own. You must also have someone with you on the same day and the first night.

If you live far from the clinic, we recommend that you stay overnight in Oslo, either with family/friends or in a hotel with a relative.

Hotels near Oslo Plastic Surgery;
Hotel Gabels Hus in Gabelsgate 16.
Frogner House Apartments, Bygdøy Allé 53.

(We have an agreement with Frogner House Apartments, please inform us when booking a room)

Before the operation

You must be healthy on the day of the operation. If you are in doubt whether you have a cold or similar, you must contact us. The operation is not performed when you have the flu with fever, cough or other infection in the body. Before the operation you will receive a prescription for antibiotics, possibly painkillers and Hibiscrub solution 40 mg/ml which you can buy at the pharmacy.

The day before surgery and on the day of surgery, you should wash your entire body with Hibiscrub solution in the shower. This is a disinfectant soap that should be rinsed off with water, and the skin should be dried with a clean towel. Put on clean clothes when you leave home. Do not use perfume or cream. All jewelry, piercings and nail polish/false nails must be removed at the latest the day before surgery and may be put back on 7 to 10 days after surgery.

To get the best possible result and to avoid complications, it is recommended that you have a normal weight, and not an excessively high BMI. If you smoke, or use nicotine such as snus or electronic cigarettes, you must quit at least 2 weeks before the surgery and 2 weeks after the surgery. 

You should arrive at the surgery fasting. This means that you should not eat food including fruit or drink juice with pulp or dairy products 6 hours before the surgery. You can drink water, juice, juice without pulp or coffee/tea without dairy products or chew gum/drops/throat lozenges up to 4 hours before the surgery. Medications that you may need to take on the day of surgery can be swallowed with 1 glass of water max. 100 ml up to 1 hour before the start of anesthesia.

You must arrange in advance with someone to pick you up from the clinic approximately 1 hour after the surgery, as you cannot drive, take public transport or a taxi alone.

It is important that you stop taking blood-thinning medications about 14 days before the operation, preferably after consulting your GP or us. For other medications, consult the clinic before the operation. A lot of garlic and health food preparations should also not be consumed.

On the day of surgery

You will be received by our staff who will prepare you for the operation before the surgeon sees you. Before the actual procedure, the surgeon will go over the procedure, draw up the plan, and answer any questions you may have. Anesthesia personnel will also come to greet you and answer your questions.

When the surgery is about to begin, the operating room nurse will pick you up and clean the surgical area while the anesthesia personnel will give you a sedative in your arm so that you are asleep during the surgery. In addition, the surgeon will apply local anesthesia to the surgical area for a long-lasting pain relief effect in the surgical area after the surgery, which will also reduce bleeding in the area.

After the operation, you will be moved to the recovery room where you will have your own bed. You will then rest for 1-2 hours and will be served food and plenty of drinks in the form of bread, yogurt and juice (remember to inform about allergies). Painkillers may be given if necessary.

The surgeon will see you before your return trip/hotel stay and you will be assessed by an anesthesiologist before you travel home with an adult companion. The PVK attached to your hand will be removed before you leave. You must use a car or taxi as a means of transportation immediately after surgery, we do not recommend public transportation or walking.

After the operation

All patients will come for a post-operative check-up the day after surgery. We recommend that you do not travel by air for the first 48 hours after surgery. During this time, a check-up appointment will be arranged at the clinic and you will come for a check-up at the clinic the day after surgery.

The first few hours after the operation you may feel a little tired, and sometimes a little nauseous. It is important that you take painkillers as prescribed and as needed, and make sure to drink plenty of fluids during the first 24 hours. Some people may feel a little dizzy, so it is a good idea to take a few minutes when you get up.

The final result can only be assessed after 3-6 months. Follow-up checks are arranged with the clinic; the day after surgery, after 1-2 weeks and 3-6 months, as well as a final check-up after a year. You must call to arrange the check-ups yourself, or make an appointment with the clinic on the day of surgery.

Bleeding and infection are uncommon and in very few cases require reoperation and/or antibiotic treatment. Anesthesia complications, such as allergic reactions to anesthetics, are extremely rare.

Physical exercise and hard physical work should be avoided for about 4 weeks.

If correction is necessary due to complications or unsatisfactory results, this will be done free of charge within one year, provided there is a medical indication and a clear improvement potential. This is our guarantee period.

Ask for guidance and advice

The best advice we can give face to face. We will guide you to the best solution for you.

CV

The responsible physician is Dr. Amin Kalaaji , MD, specialist in plastic surgery and clinic manager at Oslo Plastic Surgery, and head of the Norwegian Society for Aesthetic Plastic Surgery (NFEP) 2018-2020.

Dr. Kalaaji holds many positions and gives lectures and trainings around the world. This benefits all our patients as he is always up to date on the latest and most advanced treatments and surgical techniques. 

Patient safety, high quality and individual treatment always have the highest priority at Oslo Plastic Surgery. 

FAQ - Frequently Asked Questions

Oslo Plastic Surgery answers frequently asked questions here, and we hope that this will provide you with good information. We want to be helpful in the process before an operation. If you have any more questions, just write or call us.

All patients must undergo a consultation before surgery. The consultation is conducted by our experienced plastic surgeon who will ask you questions about your medical status; past or current illnesses, previous surgeries, use of medications, etc. An examination is then performed, and the surgeon considers a possible operation.

If you are suitable for surgery, you will receive information about the surgery itself, precautions to take before and after the procedure, and you will get answers to your questions.

For patients with long distances to travel, we offer consultations via telephone and/or video consultation. We will then send you a health information form in advance, which you must fill out and return to us before the consultation. You will also send us some photos.

Should surgery be necessary, the surgeon will conduct a thorough assessment the day before the planned surgery.

You must be healthy on the day of the operation. If you are in doubt whether you have a cold or similar, you must contact us. The operation is not performed when you have the flu and/or fever or cough or other infection. Before the operation, you will receive a prescription for antibiotics, possibly painkillers and Hibiscrub solution 40 mg/ml, which you can buy at the pharmacy.

In Norway, it is not allowed to show before and after pictures of silicone from cosmetic procedures in marketing or on the clinic's website. However, we can show beautiful pictures from previous patients when you come for a consultation with the surgeon. This can be very helpful, and it can make it easier for you to imagine an expected result.

In our technique in fertile age we do not cut the milk ducts as long as the woman has milk ducts and glands that produce milk then she should only breastfeed freely. In grade 3 and difficult grade 2 of inversion it is still not possible to breastfeed as the child cannot grasp the nipple. In such cases, correction can help the woman to breastfeed as or should not have been possible.

If correction is necessary due to complications or unsatisfactory results, this will be done free of charge within one year, provided there is a medical indication and a clear improvement potential. This is our one-year warranty agreement.

Attachment:

Please read our own publications about breast implants in both Norwegian and English.

Our article in ASJ magazine
Interview

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