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The nipples have a combined erotic and breast-feeding function. To function well, they need good sensibility. Women have problems with the nipples for different reasons: They can be retracted and thus lose both their good function and their attractive appearance. Women find that the nipples can be too long, too thick or too short, or simply retraced. It is also annoying when the nipples are divided – not an uncommon problem, especially in partial retraction. We can usually improve or repair this.     

When breast-feeding, it can be impossible for the child to grip retracted nipples. The underlying problem is that the lactiferous ducts are too short and pull down the nipple. There is no safe method to recover a really retracted nipple, since the techniques can destroy the future ability to breast-feed. If breast-feeding is not on the agenda, a good result can be achieved by dividing the lactiferous ducts. This does however destroy the ducts and normally the ability to breast-feed.

We have developed a special technique which uses small flaps to lift up the nipple. This can be quite successful. However, it is impossible to promise a young woman that both the appearance and the function of the nipples will be preserved.

Long and thick nipples can be made more aesthetically pleasant without destroying either sensibility or breast-feeding ability. We show the technique in our Photo Gallery. We have never had any circulation problems in the nipples after the employment of this technique.

The pigmented area (areola) around the nipple is of great concern to many women. It may be uneven, irregular or too large, but it is rarely too small. We can correct all this. A common combination is a tubular breast with a pointed nipple/areola and a huge pigmented area. We can correct this when we correct the tubular deformity.

Milder cases of pointed nipples / areolae are common and can often be corrected by dividing a constricting ring in the periphery of the pigmented area. For most women, the goal is a round contour of the breast and the division of the constricting ring is one method to achieve this.    

Many of these techniques for nipples and areolae have been developed over the last few years by Doctor Wieslander and the demand for surgery is constantly growing.

Nipples, areolae and tubular breasts are operated at the Institute of Plastic Surgery, Western Harbour, Malmö, Sweden.