Post-Fibroadenoma Surgery: Persistent Nipple Inversion Concerns

After minimally invasive excision of a fibroma, the nipple retraction cannot be restored?

Hello, I just underwent minimally invasive surgery to remove a fibroma.
Due to a congenital nipple inversion (which can temporarily revert when pressed), 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 the pressing method afterward? (This is causing hygiene issues.)

hi, 20~29 year old female. Ask Date: 2022/04/12

Dr. Li Zhonghuai reply Surgery

Replied.

Reply Date: 2022/04/12

More Info

After undergoing fibroadenoma excision surgery, it is not uncommon for patients to experience changes in the appearance and function of the nipple, particularly if there was a pre-existing condition such as congenital nipple inversion. The surgical procedure itself can lead to swelling, changes in tissue, and alterations in the surrounding structures, which may temporarily affect the nipple's ability to revert to its normal position.

In your case, the persistent inability to temporarily restore the nipple's position after surgery could be attributed to several factors. First, the healing process can take time, and the surrounding tissues may still be inflamed or swollen, which can affect the nipple's mobility. Additionally, if the surgery involved manipulation or alteration of the surrounding tissues, this could also impact the nipple's ability to function as it did prior to the procedure.

It is important to note that while some patients may regain the ability to temporarily restore the nipple's position through manual manipulation, others may not experience the same results, especially if there are underlying anatomical changes or if the surgical site is still healing. If the nipple inversion persists beyond the typical healing period (usually around 4 to 6 weeks), it may be worth discussing with your surgeon or a specialist in breast health.

In terms of cleanliness and hygiene, if the inability to restore the nipple's position is causing discomfort or difficulty in maintaining hygiene, it may be beneficial to explore alternative methods for cleaning the area. Gentle washing with mild soap and water, avoiding harsh scrubs or irritants, can help maintain cleanliness without exacerbating any discomfort.

If you find that the condition does not improve or if you experience any additional symptoms such as pain, discharge, or changes in the surrounding skin, it is crucial to follow up with your healthcare provider. They may recommend further evaluation to ensure that there are no complications from the surgery, such as infection or scarring that could be contributing to the persistent inversion.

In summary, while some degree of change in nipple appearance and function can be expected after fibroadenoma surgery, persistent inversion beyond the initial healing phase warrants further evaluation. Open communication with your healthcare provider is essential to address any concerns and to ensure that your recovery progresses smoothly.

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