Nipple polyp
Hello Doctor: I have had a small polyp on my left nipple for over ten years.
Recently, it has been causing discomfort due to friction from wearing a bra, and I am considering surgical removal.
The doctor mentioned that the procedure would require local anesthesia and would take about 10 minutes.
Based on the doctor's experience, how long does it typically take for the surgical wound to heal, and will the incision be large? (The polyp is located at a small corner of the nipple.)
Ms. Chen, 20~29 year old female. Ask Date: 2019/07/11
Dr. Yuan Tianmin reply Breast and Thyroid
Based on personal experience, this type of surgical wound is small, and the stitches can typically be removed around 10 days post-operation.
Reply Date: 2019/07/11
More Info
Nipple polyps, while often benign, can cause discomfort and concern, especially if they have been present for an extended period, as in your case. Surgical removal is a common approach when these polyps cause irritation or discomfort, particularly from friction with clothing.
Surgical Procedure and Recovery
The procedure to remove a nipple polyp is typically straightforward and can be performed under local anesthesia, as your doctor mentioned. The surgery usually lasts around 10 to 15 minutes, depending on the complexity of the case. The incision made during the procedure is generally small, especially if the polyp is located at the edge of the nipple, as you described.
Post-surgery, the recovery time can vary from person to person, but most patients can expect the following:
1. Initial Healing: The initial healing of the surgical site usually takes about 1 to 2 weeks. During this time, you may experience some swelling, tenderness, or minor discomfort, which can be managed with over-the-counter pain relievers, unless contraindicated.
2. Wound Care: It is essential to keep the surgical site clean and dry. Your doctor will provide specific instructions on how to care for the wound, including when you can shower and how to change any dressings.
3. Follow-Up: A follow-up appointment is typically scheduled within a week or two after the surgery to ensure proper healing and to remove any stitches if necessary.
4. Full Recovery: While the surface of the skin may heal quickly, deeper tissues may take longer to fully recover. It can take several weeks for complete healing, during which you should avoid strenuous activities that could strain the area.
Size of the Incision
Regarding the size of the incision, since the polyp is located at the edge of the nipple, the incision will likely be quite small, often just a few millimeters. Surgeons aim to make incisions as small as possible to minimize scarring and promote better cosmetic outcomes.
What to Expect Post-Surgery
After the surgery, you might notice some changes in sensitivity around the nipple area. This is normal, and sensitivity usually returns to baseline over time. However, if you experience significant pain, increased swelling, or any signs of infection (such as redness, warmth, or discharge), you should contact your healthcare provider immediately.
Conclusion
In summary, the surgical removal of a nipple polyp is a relatively quick and straightforward procedure with a small incision and a recovery period of about 1 to 2 weeks for initial healing. Full recovery may take longer, but most patients can return to their normal activities fairly quickly. Always follow your surgeon's post-operative care instructions to ensure the best possible outcome. If you have any further concerns or questions, don't hesitate to reach out to your healthcare provider for personalized advice.
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