Nipple and Areola Reconstruction
During a mastectomy, the nipple and areola are typically removed, requiring a new nipple and areola to be created as a part of your breast reconstruction near Newport Beach or Irvine, California. Nipple size, position, projection and color are all determining factors in the aesthetic appearance of the reconstructed breast, so size and projection will be discussed with you at the time of the procedure.
Nipple and areola reconstruction are usually performed at the time when both you and Irvine, Orange County breast surgeon Dr. Andrew Smith are happy with the final shape and size of your reconstructed breast. The procedure is performed in the operating room on an outpatient basis and is typically requires general anesthesia. Many women choose this "finishing touch" for their reconstruction - click here to read Teri's breast surgery story in which she talks about both breast and nipple reconstruction.
Recovering in Comfort
Nipple / areola reconstruction requires a recovery period, although it is much shorter than the previous steps in the breast reconstruction process. You can usually return to work within 2 to 3 days after the procedure. Pain medications are usually not prescribed and antibiotics will be administered intravenously in the operating room along with a topical antibiotic ointment to be used for 1 week after the procedure. Unfortunately, the new nipple will not have the sensation to respond to heat and cold.
Re-creating Nipple Color
Tattooing of the newly created nipple and areola can be done 2 months after your procedure. The tattooing is performed in our office by a licensed esthetician using a topical anesthetic. The process usually takes 1 to 2 hours and you can return to work immediately. Color matching and shading of both the nipple and the areola are important, so our esthetician will work closely with you on what will give you the best results. Typically, tattooing is completed during a single appointment, but sometimes it may be necessary to have a second procedure to prevent color fading.
Our Care for You
As a Corona and Irvine breast surgeon, Dr. Smith is proud to be part of a talented medical team that has helped hundreds of women reconstruct their breasts and rebuild their lives after a breast cancer diagnosis. If you are considering reconstruction, he is happy to talk with you and tell you more about the available options. Request a consultation online with Dr. Smith or call our office at 949.653.7000 and a staff member will be happy to assist you.





