Nipple and areola reconstruction
The key facts
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About the treatment
During breast cancer treatment, the nipple and areola (nipple-areola complex, NAC) are only removed if medically necessary. In the event of removal, there are now various options available for reconstructing this area for a natural and harmonious look.
The nipple can be surgically formed from a small flap of skin taken from the breast. In most cases, the areola is reconstructed using specialist tattooing techniques or a skin graft (e.g. from the groin area).
The right method for you depends on your individual anatomy, any previous operations and your wishes – we will discuss this with you in detail and in person.
If only the nipple is to be reconstructed, the procedure can usually be performed on an outpatient basis under local anaesthetic. If additional corrective procedures are requested to improve the shape or make an adjustment to the opposite side, we usually plan to perform the procedure under general anaesthetic, either on an outpatient or inpatient basis.
Typical areas of application
- Following complete breast reconstruction, in which the nipple and areola were removed
- In the event of loss of the nipple-areola complex due to tumour disease or surgery
- After accidents, infections or complications during previous procedures
- In cases of significant asymmetry or malformation in the nipple area
When is it recommended?
- When the breast has already been reconstructed and a natural look is desired
- From 6 months after completion of radiotherapy
- Once the scar and skin condition in the reconstructed breast area are stable
“We set the highest standards for breast reconstruction and develop a treatment plan tailored to your individual needs. This is the only way to achieve the best possible result and the highest possible quality of life.”
FAQs
Will I be able to feel the newly reconstructed nipple?
Sensitivity in the newly formed nipple is usually limited or completely absent. Some patients report a slight sensation, while others experience numbness in the nipple.
Does the new nipple contract in cold weather?
The nipple’s natural reaction of contracting when cold cannot be guaranteed with a reconstructed nipple. Because the muscle fibres and nerves that control this response are not normally preserved, the new nipple generally remains immobile.
Will I need a general anaesthetic again?
That depends on the extent of the procedure. If only the nipple is being reconstructed, this is done on an outpatient basis under local anaesthetic. If further corrective measures or procedures are planned on the opposite side at the same time, the operation will be performed under general anaesthetic, either on an outpatient or inpatient basis. We will discuss this with you in detail during the consultation.
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