Nipple reconstruction surgery

Nipple reconstruction, also known as areola reconstruction, is typically undertaken after autologous reconstruction or implant reconstruction has taken place. It is a treatment which is best scheduled at least three or four months after reconstruction surgery so that the reconstructed breast has the necessary time to heal.

Nipple reconstruction surgery

Nipple reconstruction, also known as areola reconstruction, is typically undertaken after autologous reconstruction or implant reconstruction has taken place. It is a treatment which is best scheduled at least three or four months after reconstruction surgery so that the reconstructed breast has the necessary time to heal.

Nipple reconstruction surgery

Nipple reconstruction, also known as areola reconstruction, is typically undertaken after autologous reconstruction or implant reconstruction has taken place. It is a treatment which is best scheduled at least three or four months after reconstruction surgery so that the reconstructed breast has the necessary time to heal.

Frequently Asked Questions

What is nipple reconstruction surgery?

Nipple reconstruction is sometimes known as areola reconstruction and is normally undergone following an autologous reconstruction or implant reconstruction. This procedure is normally scheduled three months or more after reconstruction surgery has taken place. This is to give the reconstructed breast enough time to heal.

Nipple reconstruction is often needed after a mastectomy has taken place which involves the removal of the nipple and areola. A nipple reconstruction will recreate the darker coloured areola, along with the elevated nipple. Usually a technique using local skin flaps is used. The type of local skin flap which is used will be decided by the surgeon.

Is nipple reconstruction surgery for me?

The decision to have a nipple reconstructed following an autologous reconstruction or implant reconstruction will come down to the patient’s personal choice. Elena will offer her advice through a series of examinations and consultations, talking patients through all the pre-surgery investigations which will be necessary.

How is nipple reconstruction surgery performed?

Nipple reconstruction uses the skin surrounding the site which has been selected for nipple placement.

In the case of inverted nipples, these can be corrected easily with 2mm incisions around the nipple. Scars are nearly invisible in this case. Secondary adjustments to the reconstructed breast itself are sometimes needed, and these can be made at the same time as the nipple reconstruction operation. These secondary breast correction surgery adjustments can include lipofilling to the flap, helping to match volume and shape, as well as uplifts and contralateral reductions.

The local skin flaps which can be used in nipple reconstruction include the C-V flap, star flap and skate flap. The decision on which local skin flap to use will be influenced by the priority of minimising the risk of bleeding. When using a skin graft for the areola, some surgeons tattoo the grafted area in order to increase skin pigmentation.

Prior to the nipple reconstruction procedure, it is common for patients to refrain from drinking or eating for a window of six hours. An anaesthetist will be available to discuss the chosen mode of anaesthesia with the patient prior to them entering the operating room.

What are the risks of nipple reconstruction surgery?

As with all surgical procedures, nipple reconstruction involves a small amount of risk. Although there is a small chance of them, potential complications include bleeding, loss of nipple sensation and the need for revision surgery to be carried out.

A very rare potential complication involves the nipple used in the reconstruction not receiving enough blood, causing some of it to die. In this instance, the dead tissue needs to be trimmed away and the nipple reconstructed. Another rare complication is for the nipple to flatten out too much. This problem can be addressed by the reconstruction and reinforcement of the nipple with a graft.

Nipple reconstruction surgery recovery time

Nipple reconstruction patients typically wear a nipple shield for protection following the procedure. This can be kept on for a period of about three days. Stitches are usually removed around two weeks after the procedure, swelling then begins to flatten out. The nipple can feel tender for a week or so after the procedure.

Recovery rates can be dependent upon which other revisions are undertaken at the same time as the nipple reconstruction, as well as the areola graft’s location site. Medication can be prescribed in order to ease the discomfort felt during the recovery period. The majority of swelling and bruising should subside within two to three days after the procedure. Some scars might not disappear altogether, but most should fade to a large degree after a few months.

Can a patient's natural nipple be used in the reconstruction?

While a nipple cannot be reattached weeks later following its removal as part of a mastectomy, there is the potential for nipple sparing techniques to be used which preserve and reattach the nipple during the nipple reconstruction procedure. Nipple sparing mastectomies can be ideal for women with a tumour which does not involve the tissue or nipple beneath the areola; women who have not been diagnosed with advanced or inflammatory breast cancer which has a skin involvement; and women who have tumours with a clear area of cancer-free tissue surrounding them.

Why choose the Breastclinik?

Elena is recognised internationally for her award-winning work in cosmetic surgery. She offers patients the benefits of an expert female consultant with an empathetic attitude and the choice of several UK locations; from London to Bristol and Sussex. With Breastclinik, you have access to cutting-edge techniques and a superb standard in aftercare.

Nipple reconstruction surgery cost

The total cost of the surgery will be confirmed after the first consultation.

The cost includes the hospital, surgeon and anaesthetic fees. It also covers all post-operative visits. The initial consultation fee will be invoiced separately. The prices apply only at the time of publication and are subject to changes without notification.

Surgery costs from £2,995
Initial consultation fee £150

Surgery details

Anaesthetic: Local or General

Anaesthetic: Local or General

Follow up: 1,4 weeks, 12 months

Follow up: 1,4 weeks, 12 months

Hospital stay: Day case or overnight
Hospital stay: Day case or overnight
Recovery time: 1-2 Weeks

Recovery time: 1-2 Weeks

Surgical time: 1.5-2 Hours

Surgical time: 1.5-2 Hours

What our patients say

  • What a skilled, talented, honest and kind surgeon!I had hoped for an improvement in the way my breasts looked but instead of an improvement, I got perfection!Any concern and query I have had, both pre- and post- surgery has been dealt with immediately and efficiently.My entire care has been phenomenal! Elena has a fantastic team that all work brilliantly together.I thank the lucky stars I landed in her hands!

    Patient at Ridgeway BMI Swindon
  • I can't recommend Elena enough. Elena was wonderful from the beginning completely understanding made me feel so comfortable she understood what it was I wanted to be done and why. Not long after my consultation, I had the surgery done a full tummy tuck, breast augmentation and some lipo and it was truly the best thing I have ever done. Elena has done an amazing job I only ever dreamed I could look like this after looking the way I did. Elena has been wonderful throughout the care before, during and after

    Patient at Queen Victoria Hospital
  • My first meeting with Miss Prousskaia was great.The process from start to finish was made simple & everything was arranged to suit me.If I had any concerns, worries or questions all I had to do was send an email to Miss Prousskaia & she would get back to me even if she was in surgery at the time.Miss Prousskaia has changed not only my body for the better but my life too & also my kids lives.Miss Prousskaia for me has made my dreams a reality. I will always be grateful for her work but also her care & understanding, she is a very talented & special lady.

    Patient at The Bristol Nuffield Hospital at Chesterfield
  • What a sweetie Elena is. She put me totally at ease during my consultation explaining everything in detail and discussed my expectations.The results are far better than I could have hoped for. I have a waist for the first time and I cannot stop smiling. It's given me so much confidence, I wish I'd done it sooner. Elena is a remarkable lady, who I cannot thank enough.

    Patient at The Mcindoe Centre
  • My daughter was born with a severe congenital deformity called tuberous breasts.Elena is so professional, warm and friendly. She took her time and explained exactly how she could correct her breasts.The surgery has been so successful, my daughter's breasts are absolutely perfect and natural looking. The scarring resulting from surgery is so minimal, smooth and neat, we are astounded and Elena is also so pleased.My daughter's personality has completely transformed. She is now so happy, vivacious and confident.I cannot praise or recommend Elena enough.

    Carer at BMI Bath Clinic
  • Elena has performed breast reconstruction on me following cancer. She is the most conscientious and skilled Dr I have met. She is direct and ensures you understand everything. Following her brilliant surgery, she is dedicated to your aftercare to the level I have never seen before. I cannot recommend her highly enough. She has made me feel me again.

    Patient at Queen Victoria Hospital
  • First, l would like to thank Elena, it was a pleasure to meet her she is so kind and understanding, After years of being so uncomfortable and having constant pain in my shoulders from having large breast.In October of this year, I had a breast reduction and uplift surgery. The difference it has made is amazing I didn’t realise it could make such a difference I now have more confidence in social situations which pre-surgery I would avoid. The pain in my shoulders has gone and I feel great. I would also like to empathise that there is no pain after surgery just a little discomfort.I would recommend Elena to anyone thinking of having surgery. She’s the best .Thank you once’s again.

    Patient at Bristol Spire
  • From start to to finish my experience has been first class. I have Poland Syndrome and wanted my chest reduced. Elena is a truly amazing surgeon, and has a great team. Elena is fantastic, so understanding and caring, she has a real passion for her work, always wanting the best for you. I can honestly say if you are looking for a top surgeon go meet her, you won’t be disappointed. I believe she has a remarkable talent and I was so lucky to find her.

    Male Patient Spire Bristol
  • Firstly, I would like to say that I would highly recommend Elena to anyone considering a breast augmentation.Elena was the second plastic surgeon I had a consultation with for a breast enlargement operation, recommended to me by a friend who had recently undergone surgery with her and from the moment I picked up the phone to book my first consultation with her the whole process was flawless. I had quite a difficult case with very little under boob but Elena managed to work her magic and gave me the size and look that I have always wanted even with this tricky starting point. I wish I had done this sooner, the difference is truly life changing

    Patient Bath BMI Hospital
  • Ever since I became a teenager and developed breasts, I have always considered a breast augmentation. I had researched the procedure, surgeons and practices for over 20 years but it wasn't until last year that I felt confident enough to go ahead. Elena was the first (and only) surgeon that I had a consultation with. I was blown away with her extensive experience & dedication to helping people. I am now 2 months on from my procedure and the end results are unbelievable! I don't think I really prepared myself for how fantastic my boobs could look! I feel sexy, confident and I am just so ridiculous happy with my new breasts. I am now just awaiting summer to show them off! 

    Patient at Bristol Spire