Puerto Rico (PR) Inverted Nipple Repair

Inverted Nipple Repair Related Terms:
Inverted Nipple Repair In Puerto Rico PR, Puerto Rico Areola Repair, Puerto Rico Breast Procedures, Puerto Rico Cosmetic Surgery, Puerto Rico Milk Ducts Divided, Puerto Rico Milk Ducts Intact, Puerto Rico Nipple Augmentation, Puerto Rico Nipple Correction, Puerto Rico Nipple Inversion, Puerto Rico Plastic Surgery, Puerto Rico Surgeon

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Inverted Nipple Repair in Puerto Rico section, includes general infrmation about Inverted Nipple Repair Procedure, Inverted Nipple Repair Puerto Rico Local News, Inverted Nipple Repair Puerto Rico Surgeon Locator and other Inverted Nipple Repair related material.


Inverted Nipple Repair Procedure

Inverted Nipple or Nipple inversion causes the nipple to point inward instead of outward. Inverted nipples are usually evident as a slit or hole in the breast at the location of the nipple and may be present on one or both sides. Inverted nipples are usually a congenital problem but may be related to scarring from breast-feeding or infection in the ducts, or a previous breast surgery. Nipple inversion can cause functional problems such as irritation, rash and discomfort and may prevent the ability to breast-feed.


Abnormal nipple shape is graded from minor depressed profile, to flat profile, onto full inverted nipples where the nipple is essentially positioned below the plane of the breast. In order to enhance your appearance, improve your confidence, and functionally to assist recently-pregnant women with breast feeding, the procedure is to release the binding tissues within your areola and allow your nipple to migrate to the surface. Current cosmetic surgery techniques have refined the Inverted Nipple Repair procedure, so you can have confidence in getting the right results. Inverted Nipple Repair Procedure can also be used to correct puffy, oversized nipples. The surgeon will remove and alter the nipple tissue, creating a normal healthy looking nipple.


The correction of inverted nipples is a procedure that is minimally invasive and can be performed in conjunction with other procedures such as breast augmentation, breast lifting or breast reduction surgery (for both men and women).

Types of Inverted Nipples

There are three "grades" of inversion - which basically means three levels of severity. While some nipples may only be inverted some of the time (and "come out" or become everted in response to cold or physical touch), others are more severely inverted and never come out. Some women can breastfeed normally, while others will never be able to breastfeed.

Grade 1. Nipples are inverted but can become everted manually (through stimulation) or in response to cold temperature. They can remain everted for some time. Milk ducts are usually not compromised and breast feeding is possible. These are "shy nipples".

Grade 2. Nipples are inverted and are more difficult to evert. The eversion almost never lasts - the nipple returns to the inverted state immediately. Breast feeding could be possible, but this is not a sure thing.

Grade 3. Nipples are severely inverted and never evert. Milk ducts are often constricted and breast feeding is impossible. Women with Grade 3 inverted nipples may also struggle with infections, rashes, or problems with nipple hygiene.

There are two techniques to correct inverted nipples - one that leaves the milk ducts intact and one where the milk ducts need to be divided.
 
In either case, the objective is to reshape the nipple and areola so that the nipple projects out from the breast, enhancing the appearance of the breast while preserving sensitivity of the nipple.
 
The technique that leaves the milk ducts intact can also help preserve a woman`s ability to breastfeed.
                                                                                                      

Milk Ducts Intact - The procedure can be done under local anaesthesia. An incision will be made just around the base of the nipple on the areola. The nipple and areola tissue is lifted from (but still connected to) the breast and stitched into a new, projecting shape utilizing a purse-string style of suturing (stitches). Because of the circular shape of the scar around the nipple, scar contracture will actually increase rather than decrease nipple projection.
 
Milk Ducts Divided - This procedure is much more common and may be necessary in more difficult cases. Your doctor will apply local anaesthetic. An incision is made at the nipple base, and the shortened milk ducts are detached, allowing a natural-looking projection of the nipple. The incision is sutured closed and medicated gauze is applied to the site.

Recovery is very rapid with a return to work and most activities within hours. Showers are permitted the next day. The sutures will be removed in 4 to 7 days.
 
There is minimal pain or swelling. Sensation is normal immediately or returns fully within several days.
 
Inverted Nipple Repair procedure can be combined with other procedures including breast enlargement, breast lift, or breast reduction.

Things To Be Aware Of After Inverted  Nipple Repair Procedure:  The skin of your breasts may appear shiny due to swelling. Within a few weeks, the swelling will disappear and the skin will return to a normal appearance. You may experience some numbness in the area of your surgery, but this generally goes away within six weeks of your surgery. If both nipples are corrected, your breasts may heal at different rates. One breast may swell, one may feel less comfortable, or the shapes of your breasts may look different. This is normal; however, when your body is fully recovered, your breasts will look very similar and natural.
 Like all surgical procedures, there are risks associated with inverted nipple repair surgery.
Some possible side effects include:
• Loss of nipple sensation
• Inability to breastfeed
• Recurrence of nipple inversion
• Scarring

 Inverted Nipple Repair Procedure takes approximately 1-2 hours to perform.  This is done on an out-patient basis. 

 You are good candidate for Inverted Nipple Repair surgery, if you are in general good health and have a clear understanding of the limitations and potential results of your nipple inversion repair.

In most cases, you will be ready to go home shortly after your inverted nipple repair procedure. You may be drowsy after the anesthesia and the area around the incisions will be sore so it is important to have someone drive you home after your surgery.
Nipple inversion may recur within months to years or the results of the surgery may be permanent. There is no way to know how long the inverted nipple repair correction will last. The doctor will discuss possible scenarios with you at your  consultation.

Other Inverted Nipple Repair Procedures
All Breast Procedures
Inverted Nipple Repair Puerto Rico (current)
Inverted Nipple Repair Puerto Rico Breast Lift
Inverted Nipple Repair Puerto Rico Breast Implants
Inverted Nipple Repair Puerto Rico Implant Removal
Inverted Nipple Repair Puerto Rico Armpit Incision

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Planing on having inverted nipple repair procedure in Puerto Rico?
Here is some General Information about Puerto Rico:


Puerto Rico By car

If you are planning to explore outside of San Juan, renting a car is by far the most convenient way to get around. Rentals are available from the airport as well as larger hotels.

Parking in the Old Town of San Juan is virtually non-existent and traffic in all major cities is bad during rush hour (8-10am, 4-6pm), so give yourself plenty of time coming and going.

Road signs are Spanish language versions of their U.S. counterparts, so you shouldn't have trouble figuring them out. However, note that distances are in kilometers, while speed limits are in miles. Gas is also sold by the liter, not by the gallon, but prices are roughly equivalent to the continental US.

In additional to the regular free highway (carretera) network, there are three toll roads (autopista) on Puerto Rico. They're much faster and less congested than the highways, and it's worth using them if in any kind of hurry. Tolls for a 2-axle car range from [location_tag].70 and $1.50. The lanes on the left are reserved for people with RFID toll passes, which you probably won't have on your rental car. If you need change, head for the lanes marked with a "C", usually the furthest to the right.

Puerto Rico inverted nipple repair - Tip of the day:
Intact Milk Duct Breast Procedure
The procedure can be done in Puerto Rico(PR) under local anesthesia. An incision will be made just around the base of the nipple on the areola. The nipple and areola tissue is lifted from (but still connected to) the breast and stitched into a new, projecting shape utilizing a purse-string style of suturing (stitches). Because of the circular shape of the scar around the nipple, scar contracture will actually increase rather than decrease nipple projection.
Puerto Rico inverted nipple repair - News update:
The National Institute for Health and Clinical Excellence (NICE) has published an appraisal consultation document (ACD – draft guidance) on the use of alendronate, etidronate, risedronate, raloxifene and strontium ranelate for the primary prevention of osteoporotic fragility fractures in postmenopausal women. The guidance recommends (direct from source): 1.1 Alendronate is recommended as a treatment option for the primary prevention of osteoporotic fragility fractures in the following groups: • Women aged 70 years or older who have an independent clinical risk factor for fracture (see section 1.5) or an indicator of low BMD (see section 1.6) and who also have a T-score of -2.5 SD or below. In women aged 75 years or older who have two or more independent clinical risk factors for fracture or indicators of low BMD, a DXA scan may not be required if the responsible clinician considers it to be clinically inappropriate or unfeasible. • Women aged 65-69 years who have an independent clinical risk factor for fracture (see section 1.5) and a T-score of -2.5 SD or below. • Postmenopausal women younger than 65 years with additional indicators of low BMD (see section 1.6) and one independent clinical factor for fracture (see section 1.5) and who also have a T-score of -2.5 SD or below. When the decision has been made to initiate treatment with alendronate, the preparation prescribed should be chosen on the basis of the lowest acquisition cost available. 1.2 Risedronate and etidronate are recommended as alternative treatment options for the primary prevention of osteoporotic fragility fractures in postmenopausal women: • who are unable to comply with the special instructions for the administration of alendronate, or who have a contraindication to or are intolerant of alendronate (as defined in section 1.7) and • who also have a T-score, age and number of independent clinical risk factors for fracture (see section 1.5) – please refer to table in the ACD for T-scores (SD) at (or below) which risedronate or etidronate is recommended. 1.3 Strontium ranelate is recommended as an alternative treatment option for the primary prevention of osteoporotic fragility fractures in postmenopausal women: • who are unable to comply with the special instructions for the administration of alendronate and risedronate, or who have a contraindication to or are intolerant of alendronate and risedronate (as defined in section 1.7) and • who also have a T-score, age and number of independent clinical risk factors for fracture (see section 1.5) - please refer to table in the ACD for T-scores (SD) at (or below) which strontium ranelate is recommended. 1.4 Raloxifene is not recommended as a treatment option for the primary prevention of osteoporotic fragility fractures in postmenopausal women. 1.5 For the purposes of this guidance, independent clinical risk factors for fracture are parental history of hip fracture, alcohol intake of 4 or more units per day, and severe long-term rheumatoid arthritis. 1.6 For the purposes of this guidance, indicators of low BMD are low body mass index (defined as less than 22kg/m2) and medical conditions such as ankylosing spondylitis, Crohn's disease, conditions that result in prolonged immobility, and untreated premature menopause. 1.7 For the purposes of this guidance, intolerance of alendronate or risedronate is defined as persistent upper gastrointestinal disturbance that is sufficiently severe to warrant discontinuation of treatment, and that occurs even though the instructions for administration have been followed correctly. 1.8 For the purposes of this guidance, primary prevention refers to opportunistic identification, during visits to a healthcare professional for any reason, of postmenopausal women who are at risk of osteoporotic fragility fractures and who could benefit from drug treatment. It does not imply a dedicated screening programme. 1.9 Women who are currently receiving treatment with one of the More...

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