How to reduce areola?
When breastfeeding, the breast expands first and then becomes smaller, which often leads to the areola becoming too large. In order to restore the beauty of areola, areola reduction is needed, and the excess part around areola is removed by surgery to restore its size to normal. If it is accompanied by sagging, it can be corrected together. The operation of areola reduction is relatively simple, and the surgical method can be areola ring incision or fan incision. Areola reduction does not damage nipple and breast tissue, and the incision marks are left at the edge of areola or in areola, which is generally not obvious. After operation, just cover the gauze, take antibiotics, and don't change the medicine. The stitches can be removed 7-8 days after operation. After areola reduction surgery, the nipple still retains its original feeling and will not affect the function of breastfeeding in the future. The reconstructed areola is natural and beautiful.
Is areola reduction safe?
The areola reduction operation is performed by experienced experts. The operation will not damage the nipple and breast tissue, and the incision marks will remain on the periphery of the nipple, leaving no scars after operation. The appearance of areola is realistic and beautiful. After areola reduction surgery, only gauze is covered, no dressing is needed, just take some antibiotics, which is very safe.
Three kinds of nipple areola reduction
Wedge excision of nipple? With the O point as the center, two points, A and B, are set on the edge of the nipple top surface, and the distance between AB is to cut off the periphery of the reduced nipple. The distance between AB can be adjusted according to the amount of nipple excision, which is generally 1/4 ~ 1/3 of the original nipple circumference, and generally does not exceed 1/2, so as to avoid suture difficulties. From point A and point B, the vertical line from nipple to areola intersects with point C and point D, and all the tissues in the wedge area of ACDBOA are removed (Figure 1). The points A and B, C and D are stitched together, and the cat ears formed on the areola are trimmed after the points C and D are merged, that is, the nipple diameter is reduced. After wedge resection, the nipple sometimes inclines to the resection side, or it is accompanied by too long nipple. At this point, the epidermis can be removed in the annular band at the bottom of the nipple. Pay attention to the opposite side of wedge resection, and then sew the two ends of epidermis directly, which can correct nipple deviation and reduce nipple height.
Nipple lodging suture? First, the tissue within the ABC range of the nipple is obliquely cut (the cutting range is relatively large), which can generally reach 65,438+0/2 ~ 2/3 of the original nipple. Then, the remaining nipple is prone in the direction of the wound surface, so that the distal and proximal wound surfaces of the nipple are closed and directly sutured. After trimming the "cat ears" on both sides of the nipple, the appearance of the new nipple is round and full, and the diameter and height of the nipple are shortened.
Central papillotomy? Symmetrical points a, b, c and d are designed at the edge of the top surface of the nipple, so that AC=BD. Draw two arcs between A, B, C and D, and then draw a vertical line from A, B, C and D along the nipple to the areola to intersect at E, F, G and H. After all the tissues in AEGCDHFBA area are removed, the two nipple tissue flaps are butted to complete the nipple diameter reduction. At the same time, two points, M and N, are set in the direction corresponding to the outer edge of the areola, which are connected with EM, GM, FN and HN respectively, so that EM=GM and FN=HN. After excision of areola tissue in the triangle of EMGE and FNHF, the butt joint not only eliminated the cat ears formed on the areola after nipple reduction, but also reduced the areola.
Matters needing attention after areola reduction
1, avoid upper limb movement after areola reduction, and bandage the upper chest if necessary;
2. Breast massage can be started 4-5 days after areola reduction, and squeezed once in the morning and evening to prevent capsular contracture;
3. Take proper amount of vitamin E after areola is reduced. 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;
4. Sexual life should be avoided within one week after areola reduction, and the breasts should be extra careful within one month thereafter.