Dr. Phillip Chang

Dr. Phillip Chang

Board Certified By The American Board of Plastic Surgeons.
Voted Top Plastic Surgeon in Loudoun, Virginia
Offices in Leesburg, Virginia.

Realself Verified Doctor

Remember the perfect, perky nipples of our teens and twenties? Fast forward through a pregnancy or two, breastfeeding and plain old aging, and some of us end up with nipples doing slightly weird things. They can get stretched or spread out, or hide when they’re supposed to be sticking out. These are all embarrassing, for sure. But the good news is that misshapen nipples are so common, and they are such an easy fix. A good plastic surgeon can take care of a large, misshapen or inverted nipple in just about no time.

Is Nipple Retraction Surgery For Me?

When nipples get literally bent out of shape from pregnancy or breastfeeding, they can get wider or droopy. And sometimes, our once-symmetrical nipples become two different shapes or sizes after having a few kids. Nipple retraction surgery can be a perfect solution in cases like these.

How Does Nipple Retraction Surgery Work?

Nipple retraction surgery is often (but not always) part of a breast augmentation, reduction or lift.

For long or droopy nipples, your surgeon removes the extra skin from the base of the nipple (where it’s super easy to hide the scars), shortening and tightening the nipple so it’s firmer and perkier.

For wide nipples, we take out a little wedge of tissue from the side of the nipple and close it vertically so you’re left with a smaller, prettier nipple – again with little or no visible scarring. We work hard to keep things as symmetrical as possible so you’ll feel like you’re 22 again and everything is bouncy and balanced!

Nipple retraction surgery on its own is an outpatient procedure that requires just a little bit of local anesthetic. These procedures tend to work better for ladies who are done having kids so the work doesn’t get stretched out again through weight gain. But if you do get pregnant again, you should be able to breastfeed with no problem.

Is Nipple Retraction Surgery Right For Me?

Sometimes our nipples point in when they’re supposed to be pointing out. It’s called nipple inversion, and it affects more women than you think. In some cases, it’s just something that happens, and many women live with it for most of their lives. Other times, nipple inversion comes on after breastfeeding because of changes related to those hardworking milk ducts.

What Is Nipple Inversion/retraction?

Nipple inversion happens when the tissue around the nipple gets so attached it just won’t let go. That breast tissue holds on tight to the base of the nipple, so the nipple finds itself getting pulled back in when it wants to pop out!

The pros have identified three different types of nipple inversion:

  • Level 1 inversion often involves what are known as “shy” nipples. They’re often inverted but occasionally come out on their own or with a little stimulation.
  • Level 2 inversion is when the nipple can come out with stimulation but usually goes right back into the default inverted status.
  • Level 3 inversion involves severely retracted nipples that don’t come out without surgery.

Sometimes a little suction is all it takes to correct a Level 1 inversion, but in other cases, surgery is your best bet, and it’s easier than ever.

How Can My Doctor Fix My Inverted Nipple?

Your doctor makes a tiny incision at the base of the nipple and then locates the tissue or constricted milk ducts that are causing the problem. He untangles the tissue in a quick and easy procedure and frees the nipple. Then he makes a tiny stitch to keep everything pointing in the right direction.

This procedure is also usually done in the office without general anesthesia. It can typically be done without impacting the milk ducts so you can still breastfeed, and in some cases, it can actually help women breastfeed more successfully. And just like a nipple reduction, nipple inversion surgery is non-invasive and essentially scar-free.

Balance In a Braless World

Whether we like it or not, going braless is a trend, and Free the Nipple fashions are back with a vengeance. And if bra-free isn’t your cup of tea, you may just want to feel more comfortable in the bedroom or at the gym.

If you feel that you may need nipple reduction or nipple inversion therapy, contact Aesthetica today for a free consultation.There’s absolutely no reason to be embarrassed or self-conscious about your nipples when it’s so easy to achieve balance, harmony and just the right size and shape!



Most frequent questions and answers

Acne is the most common skin condition in the U.S. affecting nearly 50 million Americans at any time. Acne is caused when hair follicles become clogged with oil and dead skin cells. It can often be persistent and unsightly.

The Acne Clear BBL is a cutting-edge acne treatment that uses the power of light to comfortably and effectively clear acne without expensive creams or toxic medicines…

Brown sun and age spots are some of the first signs of aging and sun damage.

Treatment options include

  1. Creams such as hydroquinone and retin A.  Hydroquinone is a bleaching agent while Retin A increases cellular turnover.  Over-the-counter creams will generally not have high enough concentrations to be effective.
  2. Forever Young BBL – Cutting edge technology providing the most powerful and effective IPL option.

The Forever Young BBL uses Broad Band Light to alter skin melanin and rejuvenate cellular DNA.  Instead of spending time and money on ineffective skin care products many of our patients have turned to the Forever Young BBL to make their skin more vibrant and youthful; reducing brown and red pigmentation problems, promoting collagen, and rejuvenating cellular DNA. It is the most popular laser treatment in our clinic.

What to expect from the Forever Young BBL:

  • Treatments take 20-30 minutes
  • Up to 80% improvement after a single treatment.
  • Most patients will benefit from adding a Micro Laser Peel and a Profractional Laser Peel ( Triple Laser Package )
  • Fine facial lines and wrinkles are a result of UV sun damage, the breakdown of collagen, and a decrease in skin hydration. The Micro Laser Peel and the Profractional Laser are ablative lasers designed to reverse these changes.

    • The Micro Laser Peel precisely ablates the surface skin in order to remove UV damaged skin
    • The Profractional Laser ablates deep columns of skin that can reach to the deep dermis. This allows for skin contraction but it also encourages new cell grown and organizes new collagen

    Results depend on the depth of treatment. Recovery from a maintenance treatment can be as little as a day; but recovery from aggressive treatments can be as much as 7 days. Many patients will benefit from the addition of the Forever Young BBL ( Triple Laser Package ).

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