How big is a nipple

New shape and size with a scalpel | This is how nipples are surgically beautified

From the size of a small lentil to a walnut - the shapes of nipples are as varied as the breast shape itself. Some women suffer from (supposedly) oversized nipples, puckered warts or an asymmetrical shape. BILD explains what options there are to change the size of the nipples.

“The nipple can change over time, especially after pregnancy or after major weight loss. In extreme cases, a nipple can even be the size of a strawberry, ”says Dr. René Schumann, specialist in aesthetic plastic surgery at the Yuveo Clinic in Düsseldorf. THE shape of the nipple does not exist either: "There is no shape or size that is considered normal."

What methods are there to change the look of nipples?

Dr. Schumann: “The most common nipple operations are wart reduction and nipple operations. The nipple reduction is less time-consuming than the correction of the inverted nipples, which can mostly be carried out under local anesthesia. Too large nipples, which in pronounced cases are to be assessed as breast malformations, can be present not only in women, but also in men. "

reduction

► During the reduction, a wedge-shaped incision is made across the nipple and as much tissue is removed from the nipple until the desired size is reached. The wound is then closed with fine sutures. Sometimes a cross-section is enough. However, if the nipples are very large, three cuts (star-shaped) will secure the nipple's round shape and prevent an oval result.

► Just like the nipple, the shape and size of the areola are different, in some women the diameter is up to ten centimeters. Tightening is usually done to shrink the areola. However, only the skin of the areola is removed, made smaller and then sutured again.

The size, shape and color of the nipples are as different as women themselves. What many women with children know, during pregnancy (photo on the right) the size and color of the nipple change in preparation for breastfeeding

Inverted warts

“The term inverted nipples or inverted nipples describes a usually congenital malformation of the nipple. The nipples are curved inwards. The nipple can also be unilateral or asymmetrical. If the nipples are very pronounced, hygiene can be impaired, ”explains Dr. Schumann.

► There is a possibility of correction without surgery, the niplette. It basically consists of a funnel that is placed on the nipple. An integrated hose builds up negative pressure with a suction mechanism, pulls on the inverted nipple and thus leads to tissue expansion. Milk ducts, connective tissue and skin should be permanently stretched so that the nipples remain erect if successful. The Niplette can be bought in pharmacies without a prescription. It should be worn several hours a day for four to six weeks, but it doesn't always help.

► A nipple operation is performed under local anesthesia. An incision is made across the nipples or at their base and prepared about one to two centimeters deep. The most important step is the severing of all gland ducts and the adjacent connective tissue structures. Even the finest strands that remain could cause the inverted nipples to reappear. "But you should not proceed so radically that it comes to a circulatory disorder of the nipples," says the doctor.

Risks: After surgery, there may be wound healing disorders, temporary sensory disorders in the chest or slight asymmetry due to the scarring. In some cases, retraction of the nipple or enlargement or deformation of the nipple is possible. “After the nipple reduction, parts of the mammary ducts are severed. So there is a possibility that after the operation you will be unable to breastfeed. In addition, the feeling of the skin in the nipples after the operation can deteriorate or even disappear, ”warns Dr. Schumann.

As a rule, the costs are not covered by the health insurance companies. Depending on the effort, they range from 500 to several thousand euros.