After the excision of a fibroma (minimally invasive), the nipple retraction cannot be restored?
Hello, I just underwent minimally invasive surgery to remove a fibroma.
Due to congenital nipple inversion (which can temporarily revert with pressure), I noticed about two weeks post-surgery that the nipple is unable to temporarily return to its original state.
Is this normal, doctor? Will I still be unable to temporarily restore it using pressure afterwards? (This is causing cleaning difficulties.)
hi, 20~29 year old female. Ask Date: 2022/04/11
Dr. Li Zhonghuai reply Surgery
Hello! We can observe first and wait for the underlying tissue fluid to accumulate to see if the nipple will return to its protruded state.
If it remains inverted, we can consider flap reconstruction, but it is advisable to wait until you no longer wish to breastfeed to avoid mastitis during lactation.
Take care! Changhua Hospital cares about you.
Reply Date: 2022/04/11
More Info
After undergoing fibroadenoma excision surgery, it is not uncommon to experience changes in the appearance and function of the nipple, especially if there was a pre-existing condition such as congenital nipple inversion. The surgical procedure can lead to swelling, scarring, and changes in the surrounding tissue, which may temporarily affect the nipple's ability to revert to its normal position upon pressure.
In your case, the persistent inversion of the nipple two weeks post-surgery can be attributed to several factors. First, the healing process following surgery can take time, and the tissues may still be inflamed or swollen. This inflammation can affect the elasticity and responsiveness of the nipple tissue, making it less likely to return to its normal position when squeezed. Additionally, if the surgery involved manipulation or alteration of the surrounding structures, this could also contribute to the persistent inversion.
It is important to note that while some degree of change is expected after surgery, if the nipple remains inverted and does not respond to pressure as it did prior to the surgery, it may warrant further evaluation. This could involve a follow-up appointment with your surgeon or a specialist in breast health. They can assess the surgical site, check for any complications such as infection or excessive scarring, and determine if any additional interventions are necessary.
In terms of hygiene concerns, if the inversion is causing difficulty in maintaining cleanliness, it is advisable to discuss this with your healthcare provider. They may offer specific recommendations or techniques to help manage this issue. Sometimes, physical therapy or specific exercises can be suggested to help improve the nipple's position and function over time.
As for the long-term outlook, many patients find that their nipple appearance and function improve as they continue to heal. However, individual outcomes can vary based on the extent of the surgery, the individual's healing process, and any underlying anatomical considerations. If the inversion persists beyond the typical healing period or if you experience any discomfort, pain, or other concerning symptoms, it is crucial to seek medical advice promptly.
In summary, while some changes in nipple appearance and function can be expected after fibroadenoma surgery, persistent inversion should be evaluated by a healthcare professional. They can provide guidance on managing any hygiene concerns and assess whether further treatment is necessary to restore normal function. Always prioritize open communication with your healthcare team to ensure the best possible recovery and outcome.
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