If it is invagination, it turns out that I am the same. It would be nice to have a minor operation in the gynecological hospital in the future. Remember not to go to some health care and beauty places casually, which is not reliable. Just go to a regular big hospital for examination, don't worry. ...

This is some information I have checked. You can have a look and refer to it.

In short, as long as it is handled properly, the problem is not big.

correct

Experts pointed out that nipple invagination is mainly congenital, but it can also be caused by trauma or surgery, breast tumor, fibrous hyperplasia after mastitis and so on. The main cause of congenital nipple invagination is the dysplasia of smooth muscle of nipple and areola. These muscle fibers are pulled inward, and the lack of supporting tissue under the nipple forms nipple invagination. Entrapment usually occurs on both sides at the same time or unilaterally. The inverted nipple can come back as long as it is squeezed or pulled slightly, which belongs to mild nipple inversion, also known as reversible nipple inversion. This kind of nipple invagination can be corrected by non-surgical conservative treatment, and the best time for treatment is before marriage or early pregnancy. Specific methods include manual traction and instrument traction.

Straight breasts are the focus of women's beauty, and nipples are the "delicate points" in the focus. If nipple invagination is found, women had better correct it in time. The following methods can be selected according to different situations.

The first is manual pulling. Adolescence is an important period of breast development and correction of nipple invagination. Often pulling the nipple can make the breast protrude, increase the supporting force of the surrounding skin, and play the role of "shaping". Several times a day. After a long time, the nipple naturally protrudes outward. If you can't pull it out, you can first push the skin near the nipple of the breast outward.

The second is suction therapy. After pregnancy, use a breast pump to suck the nipple several times a day, and use its negative pressure to expand the nipple.

Third, the use of nipple orthosis is to treat nipple flattening or depression.

prevent

First, women with nipple invagination, menstrual period and other immediate family members should be the focus of prevention. After the birth of a baby girl with genetic tendency, the mother can gently pull the nipple outward, 1 ~ 2 times a day. Pay attention to the action must be gentle, it is best to ask experienced people to operate. In this way, we can see that the baby's nipple is mung bean-shaped or small round and higher than the skin, and the probability of nipple invagination is greatly reduced.

Second, pay attention to clothes. Close-fitting underwear should be made of cotton, changed frequently and exposed to more sun. If the nipple shows signs of redness and cracking, the underwear should be cooked and disinfected, and it is not too early for girls to use bras.

Third, prevent extrusion. Underwear and bra should be suitable, not too tight. For girls with big breasts, more attention should be paid to the looseness of breasts. For girls who have prone habits, it is necessary to correct them in time to prevent nipples from being squeezed, so as not to aggravate the degree of nipple invagination.

Women suffering from nipple invagination should pay special attention to nipple health care and hygiene after delivery. Hangzhou nipple invagination correction experts said that if the nipple is slightly depressed, the number of sucking of the baby should be appropriately increased, and at the same time, attention should be paid to protecting the nipple, cleaning after breastfeeding, and beware of infection. Once the nipple is red and swollen, you should go to the hospital for examination in time to prevent mastitis.

Health movement

[1] The first section, nipple stretching exercises. First, put your thumbs on both sides of the nipple in parallel, and then slowly extend from the nipple to the outside of both sides in parallel, pulling the areola and subcutaneous tissue to make the nipple protrude outward. This action needs to be repeated several times. Finally, put two thumbs on the upper and lower sides of the nipple respectively and extend vertically from the nipple to both sides twice a day for 5 minutes each time.

The second section, nipple pulling exercise. Hold the breast with either hand, and grasp the nipple with the thumb, middle finger and forefinger of the other hand and pull it out twice a day, about ten times each time.

Surgical correction

Overview of orthodontics

There are many surgical methods to correct nipple depression. According to the degree of depression, you can choose a method that will not leave obvious surgical scars, has less possibility of recurrence and can maintain breastfeeding function. Surgery is usually performed under local anesthesia. Make three or four radial incisions on the areola to relieve the cause of nipple depression and reshape the nipple. Because the method of correcting nipple depression is complicated, we must communicate well before operation.

If nipple invagination is serious, it will really affect breastfeeding in the future and must be treated. Correction of nipple inversion is an effective method to solve this problem, but we must go to a professional plastic surgery hospital to correct nipple inversion, so as to have the best correction effect.

Correction of inverted nipple is a minimally invasive method. The inverted nipple is released and fixed through a small incision, so that the nipple has a good shape and the nipple is enlarged after operation. The operation time of correcting nipple invagination is short, and it can be recovered in one week without removing stitches and hospitalization, leaving no traces of operation. [2]

Adapt to symptoms

Postpartum women, congenital nipple depression. Congenital nipple invagination is caused by poor development of smooth muscle of nipple and areola. After puberty, with the change of hormone level in the body, menstruation comes, breasts begin to develop, and nipples gradually increase and protrude. Although the nipples of unmarried women and pregnant women are small, they all protrude from the areola plane; If part or all of it is lower than the areola plane, or even sunken in the opposite direction, it will be trapped under the skin surface and form a local crater shape. This situation needs to be repaired.

principle of operation

(1) release the fiber bundle that causes nipple invagination, and remove part or most of the shortened mammary duct if necessary.

(2) Tissue transplantation to fill the empty nipple.

(3) Make a narrow ring at the nipple neck to prevent the tissue filled in the empty nipple from escaping.

(4) If necessary, do skin flap transplantation, enlarge nipple or neck nipple.

(5) 1 ~ 2 nipple traction after operation to prevent recurrence of nipple invagination.

Key points of operation

(1) purse-string suture nipple plasty: a circular incision with a diameter of 1.5 ~ 2.0 cm was designed in the center of areola, and the skin was cut and pulled. Make a circular incision around the deep nipple of each flap with a sharp knife, loosen the tight smooth muscle fibers, pull out the invaginated nipple, and make purse-string suture and tension knot on the upper edge skin. Proper intensity to avoid blood supply disorder. Then sew the two sides together to form a new nipple [1].

(2) Spindle incision nipple reconstruction: make a spindle incision in the breast monitor heart, loosen the tight smooth muscle fibers, pull out the invaginated nipple, separate the 1/3 flaps on both sides, keep the central 1/3 blood supply belt, and then sew it to the center to form a new nipple.

(3) diamond-shaped excision of breast skin: draw a circle with a diameter of 3cm with the nipple as the center, mark three diamond-shaped incisions at equal intervals inside and outside the circle, and cut off the skin and subcutaneous tissue in the diamond to form three pedicled flaps. Pull the nipple through the invaginated nipple with a traction thread, make a circular incision around the nipple with a sharp knife to relax the tight smooth muscle fibers, pull out the invaginated nipple, make purse-string suture under the skin through three incisions, and then sew the diamond incision.

Mode of operation

Common surgical methods are:

1. Preserving mammary duct surgery is suitable for patients with mild, moderate and severe depression. Before operation, carefully clean the concave part with cotton swab dipped in hydrogen peroxide and normal saline to reduce the chance of surgical infection, and locally infiltrate anesthesia at the nipple root.

2. Mammary duct cutting can be used for women who have given birth and do not consider breastfeeding in the future, or patients with local inflammation recurrence and serious deformity caused by scar traction. The treatment before and after operation is the same as before. The scar at the bottom of the nipple is removed during surgery, and it is also removed when there is an inflammatory mass. Completely cut off the mammary duct, fully release the depressed nipple, and design a tissue flap to fill the tissue defect at the nipple root.

This kind of operation is generally carried out under local anesthesia, and there are various surgical methods, which can be selected purposefully according to the specific situation. The operation is carried out within the areola, and the amount of operation is small, leaving no obvious surgical scar. Under normal circumstances, it will not damage the sensory nerve of the nipple, so it will not hinder the normal feeling of the nipple after operation. Surgery generally does not destroy the mammary duct, so it will not cause breastfeeding disorders.

Precautions for operation

1. Do not take drugs containing aspirin within two weeks before operation, because aspirin will reduce platelet coagulation function;

2. Patients with hypertension and diabetes should inform the doctor of their condition at the time of initial diagnosis, so that the attending doctor can confirm the operation plan;

3. Make sure that you are in good health before the operation, and there is no infectious disease or other body inflammation;

4, menstrual period, pregnancy, lactation for 6 months is not suitable for surgery.

5. Avoid upper limb movement after operation, and bandage the upper chest when necessary;

6. Breast massage can be started 4-5 days after operation and squeezed in all directions, once in the morning and once in the evening to prevent capsule contracture;

7. Take proper amount of vitamin E after operation. If the wound is found to be red and swollen or has a small amount of exudate, physical therapy can be carried out when the skin hardens;

8. Sexual life should be avoided within one week after surgery, and the breasts should be extra careful within one month thereafter.

Plastic road

1, traction, girlhood is an important period for breast development and correction of nipple inversion. Often pulling the nipple can make the breast protrude, increase the supporting force of the surrounding skin, and play the role of "shaping". Several times a day. After a long time, the nipple naturally protrudes outward. If you can't pull it out, you can first push the skin near the nipple of the breast outward.

2, breast pump therapy, after pregnancy, the application of breast pump to attract nipples, several times a day, using its negative pressure to promote nipple swelling.

3. Use nipple appliance to treat flat or sunken nipples.

Nipple plastic effect

For mild and moderate nipple inversion, the effect is ideal. Deep nipple invagination tends to retract after stopping nipple orthosis. For women without nipple tissue, it is basically ineffective. It is worth noting that before or during pregnancy, pregnant women can basically breastfeed smoothly after correction with nipple orthosis.

Male nipple invagination

Nipple invagination is a common phenomenon In real life, nipple inversion is not only found in women, but also in many men. Men who have the habit of topless are usually afraid, because nipple invagination affects their appearance.

Male nipple invagination can be caused by trauma or surgery, breast tumor and fibroplasia after mastitis. Of course, most of them are congenital, mainly congenital, mainly due to the dysplasia of smooth muscle of nipple and areola. These muscle fibers are pulled inward, and the lack of supporting tissue under the nipple forms male nipple invagination.

As for the treatment methods, it can be divided into conservative methods and surgical methods (see above for details).

Non-surgical method of nipple invagination

(1) Lifting method: In the process of breast development, wash the breast with warm water every morning and evening, then gently hold the inverted nipple with your fingers and slowly pull it out. While pulling, gently massage the nipple with the thumb and forefinger of the other hand for 5- 10 minutes each time.

(2) Suction method: The syringe jacket can be sleeved on the nipple, or the nipple can be buckled with a small wine glass, and pressed with a cloth belt, or sucked out with cupping, or flattened with plastic cans and buckled around the nipple, so that there is suction and cupping.

(3) Hand-pulling: If the nipple is slightly depressed and can be squeezed out, you can pull it by hand. Pull it several times a day for more than half an hour at a time. After a long time, you will see the effect. This method is economical, simple and convenient. However, continuous traction is easy to make people feel tired and unable to persist for a long time, thus affecting the therapeutic effect, so this is only effective for some patients with mild nipple invagination. [3]

Treatment of inverted nipple 1

The principle of non-surgical treatment is to make the nipple protrude by manual traction or breast pump suction, but this method is only suitable for patients with flat and mild nipple invagination, and moderate and severe nipple invagination should be treated by surgery.

Treatment method 2

The purpose of surgical treatment is to ensure the good appearance and stability of nipple and enlarge nipple. Skin flap method is usually used to correct nipple invagination by retaining breast catheter, that is, cutting off or transferring the surrounding skin, and tightening the nipple neck through purse-string suture to make the nipple protrude. What types of operations are there for nipple reconstruction?

1, nipple can also be reconstructed by flap method. This method provides more tissues, good blood supply, good sensory recovery, and the nipple can keep a certain height and be straight. In addition, dermal scar tissue or tissue substitutes can be used to increase nipple convexity.

2. If one nipple and areola are missing, and the other nipple and areola on the healthy side are intact and large, half of them can be cut, and the nipple and areola on the healthy side can be pulled, stitched and reconstructed, and the nipple and areola on the missing side can be reconstructed.

3. Nipple reduction surgery generally includes shortening nipple length, narrowing nipple thickness, correcting nipple droop, and correcting nipple shape unsmooth and bilateral asymmetry. The operation is performed under local anesthesia. Incisions are made around the nipple base or on the nipple cylinder to remove redundant nipple tissue, and then sutured. Generally, stitches are removed after 7-8 days of gauze covering.

4. If the nipple areola is missing on both sides, the labia minora or toe abdomen can be transplanted to reconstruct the nipple; You can also reconstruct the nipple by transplanting cartilage from the skin of the earlobe and auricle, and form a similar areola by needling the skin of the areola with brown dye according to the principle of matching the color of the areola of a healthy nipple; Or take a skin graft from the inner thigh and transplant it into the areola, and cooperate with sunlight and ultraviolet radiation, so that the color of the skin graft can be further deepened and the effect is better; It is also advisable to transplant labia minora skin into areola; It can also be used as areola by skin transplantation behind the ear.

I hope you become more beautiful, dear.

O(∩_∩)O~