Accessory breast surgery
Dear Doctor: Is the surgical removal of congenital supernumerary nipples (small spots with skin color resembling nipples) covered by insurance or is it out-of-pocket? After the removal of supernumerary nipples, will they reappear, or is it a permanent solution? How long does the surgery typically take? Are there any potential complications? If surgery is not performed, will there be significant swelling and discomfort during future pregnancies? (Currently, I experience some swelling and pain when pressed before my menstrual period.) Thank you, Doctor!
Xiao Lu, 20~29 year old female. Ask Date: 2006/06/29
Dr. Lai Jihong reply Surgery
Humans, like other mammals, typically have an even number of mammary glands.
Generally, humans have two mammary glands; however, some individuals may retain remnants of mammary tissue in other areas, which we commonly refer to as accessory breasts.
Accessory breasts usually develop in the axillary region or on the outer sides of the primary breasts, and some may even have nipples.
The physiological behavior of accessory breasts is similar to that of normal breasts, including swelling and discomfort prior to menstruation.
Generally, for individuals with accessory breasts, we recommend surgical treatment to remove them.
The surgery is typically performed under general anesthesia and usually lasts about 1 to 2 hours.
Wishing you good health! :)
Reply Date: 2006/06/29
More Info
Accessory breast tissue, or supernumerary breast tissue, is a condition where additional breast tissue develops, often resembling small moles or spots on the skin. If you are considering surgical removal of this tissue, there are several important factors to consider, including costs, risks, recovery, and the potential for recurrence.
Costs and Insurance Coverage
In many cases, the surgical removal of accessory breast tissue may be covered by health insurance, especially if it causes discomfort or other medical issues. However, coverage can vary significantly depending on the specific insurance plan and the medical necessity of the procedure. It is advisable to consult with your healthcare provider and insurance company to determine what portion of the costs will be covered. If the procedure is deemed cosmetic, it may not be covered, and you would be responsible for the full cost.
Risks and Recurrence
The risk of recurrence after surgery largely depends on the completeness of the removal. If the accessory breast tissue is fully excised, the likelihood of recurrence is low. However, if any tissue is left behind, there is a possibility that it could grow back. It is essential to discuss this with your surgeon, who can provide insights based on the specifics of your case.
Surgical Procedure and Recovery
The surgical procedure for removing accessory breast tissue is typically performed under general anesthesia, although local anesthesia may be an option depending on the extent of the tissue being removed and the surgeon's preference. The duration of the surgery can vary but generally takes about 30 minutes to an hour.
Post-operative recovery usually involves some discomfort and swelling, which can be managed with pain medication. Most patients can return to normal activities within a week, although full recovery may take a few weeks. It is crucial to follow your surgeon's post-operative care instructions to minimize the risk of complications, such as infection or excessive scarring.
Potential Complications
As with any surgical procedure, there are risks involved. Possible complications include:
- Infection: This can occur at the incision site and may require additional treatment.
- Scarring: While surgeons aim to minimize scarring, some degree of scarring is inevitable.
- Changes in Sensation: Some patients may experience altered sensation in the area surrounding the incision.
- Hematoma or Seroma: Accumulation of blood or fluid can occur post-surgery, requiring drainage.
Impact on Future Pregnancies
If you choose not to undergo surgery, it is possible that the accessory breast tissue could become more prominent during pregnancy due to hormonal changes. This could lead to discomfort or pain, especially if the tissue is sensitive or if it becomes engorged. If you are experiencing pain or swelling during your menstrual cycle, it may be indicative of hormonal influences on the accessory tissue. Consulting with a healthcare provider can help you manage these symptoms and determine the best course of action.
Conclusion
In summary, accessory breast tissue surgery can be a straightforward procedure with a generally low risk of recurrence if performed correctly. It is essential to have a thorough discussion with your surgeon regarding the potential risks, costs, and recovery process. Additionally, understanding your insurance coverage will help you prepare financially for the procedure. If you have concerns about future pregnancies and the potential for discomfort, discussing these with your healthcare provider can provide clarity and help you make an informed decision.
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