Nipple Reconstruction Gold Coast

There are a number of techniques that can be used to recreate a nipple that has been removed along with breast tissue during a mastectomy. Nipple reconstruction is usually the final stage of breast reconstruction, and whether to have it is a personal choice. Here are some of the main options.

Tattoo

Many patients choose the relatively straightforward option of tattooing a nipple and areola onto the reconstructed breast to match the position and colour of the other breast. A tattoo can look similar to a natural nipple, but it will not have the same profile or sensation, although 3D tattooing techniques can create the appearance of depth. Medical tattooing can also be used in combination with other nipple reconstruction techniques.

Prosthesis

A nipple prosthesis is a removable false nipple that is attached to the reconstructed breast with a medical-grade adhesive. It has more profile than a tattoo and does not require surgery, but it does not have any sensation.

Nipple Reconstruction Surgery

The aim of nipple reconstruction surgery is to match the look of the other nipple and areola as closely as possible in size, position, shape, texture and colour. Most commonly, a small section of skin on the reconstructed breast is folded and shaped to create a raised nipple. In some cases a skin graft may be used, for example from the opposite nipple, or from the inner thigh or groin to help recreate the areola. Colour is often added afterwards with medical tattooing. Some techniques also use specially processed donor tissue, with the cells removed, to help the new nipple keep its shape.

Nipple Sparing Procedure

A nipple-sparing mastectomy is not a nipple reconstruction. It is a technique where the skin of the nipple and areola is kept during a mastectomy, while the breast tissue underneath is removed. It is not suitable for everyone, and whether it is an option depends on factors such as the size of the cancer and how close it is to the nipple. Because the blood supply and nerves to the nipple are affected, the nipple usually has reduced or no sensation afterwards.

When Nipple Reconstruction Is Done

Nipple reconstruction surgery is usually delayed until several months after breast reconstruction, often around three to four months or longer. This allows the tissue to heal and the breast to settle into position, so the new nipple can be placed in the most natural position. If you have had radiotherapy, a longer wait may be recommended. Nipple reconstruction can often be carried out under local anaesthetic as an outpatient procedure.

Your questions answered

Frequently Asked Questions About Nipple Reconstruction

What is nipple reconstruction?

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Nipple reconstruction recreates the appearance of a nipple and areola after they have been removed during a mastectomy. It is usually the final stage of breast reconstruction and can be done with surgery, medical tattooing or a combination of both.

Do I have to have nipple reconstruction?

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No. Nipple reconstruction is a personal choice. Some people choose surgery, some prefer a tattoo or a removable prosthesis, and some decide not to have a nipple recreated at all. Dr Gault can talk you through each option so you can decide what feels right for you.

When can nipple reconstruction be done?

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Nipple reconstruction is usually done several months after breast reconstruction, often around three to four months or longer. Waiting allows the breast to heal and settle into its final position, which helps the new nipple sit in the right place. If you have had radiotherapy, a longer wait may be recommended.

How is the nipple recreated with surgery?

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Most commonly, a small section of skin on the reconstructed breast is folded and shaped to create a raised nipple. In some cases a skin graft is used, for example from the opposite nipple, or from the inner thigh or groin to help recreate the areola. Colour is often added a few months later with medical tattooing.

Will I need a general anaesthetic?

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Not usually. Nipple reconstruction can often be carried out under local anaesthetic as an outpatient procedure, so you can go home the same day. Dr Gault will recommend the most suitable approach for your situation.

Will the reconstructed nipple have feeling?

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A reconstructed nipple does not have the sensation of a natural nipple, and it will not respond to touch or temperature in the same way. Nipple reconstruction restores the appearance of the nipple, not its feeling or function.

Will the reconstructed nipple change over time?

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Yes, it can. A surgically reconstructed nipple commonly loses some of its height in the months after surgery, and tattoo colour can fade over time. Some people choose a touch-up tattoo later on. Dr Gault can explain what to expect in your case.

Can I have my nipple tattooed instead of surgery?

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Yes. Many people choose tattooing on its own, and 3D tattooing techniques can create the appearance of depth on a flat surface. Tattooing can also be used after surgical reconstruction to add colour. Gault Surgery patients can access 3D nipple and areola tattooing with Briony Cole from Bask Brows & Beauty by referral or appointment.

What is a nipple prosthesis?

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A nipple prosthesis is a removable false nipple that attaches to the breast with a medical-grade adhesive. It does not require surgery and can be taken off when you like, but it does not have any sensation.

Can my own nipple be kept during a mastectomy?

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Sometimes. A nipple-sparing mastectomy keeps the skin of the nipple and areola while the breast tissue underneath is removed, but it is not suitable for everyone. It depends on factors such as the size of the cancer and how close it is to the nipple. The nipple usually has reduced or no sensation afterwards, and there is a risk that part or all of it may not survive if its blood supply is affected. Dr Gault will discuss whether it is an option for you.

What are the risks of nipple reconstruction surgery?

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Like any surgery, nipple reconstruction carries risks. These can include infection, bleeding, problems with wound healing, partial or complete loss of the reconstructed nipple, flattening over time, and differences in position or appearance compared with the other side. Dr Gault will explain the risks that apply to you before any procedure.

How much does nipple reconstruction cost?

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Costs vary depending on the technique, where it is performed and your level of health insurance cover. Nipple reconstruction surgery after breast cancer treatment is a reconstructive procedure, so Medicare and private health insurance may contribute to the cost. Tattooing by a tattoo artist is generally not covered by Medicare. Please contact our rooms on (07) 5539 3999 to discuss the likely costs for your situation.

How do I book a consultation?

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You can book by calling (07) 5539 3999 or by sending a message through the Quick Enquiry form on this page. A referral from your GP or another medical practitioner is needed to claim a Medicare rebate for your consultation. Our rooms are at Suite 11, Pindara Place, 13 Carrara Street, Benowa QLD 4217.

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. The information on this page is general in nature and is not a substitute for individual medical advice.