Saline and Silicone Breast Implant Removal

In some cases, patients might be advised to remove either their saline or silicone breast implants due to health and cosmetic concerns. Both saline and silicone breast implants may need to be replaced as they can leak and rupture over time. Patients need to learn about the signs to identify a possible implant rupture in case it happens.  If a leak or rupture in your breast implants occurs Dr. Azouz suggests having your saline or silicone implants removed. If this is your case, arrange an initial consultation with Dr. Azouz in Dallas by calling 972 702 8888.

Signs to consider Saline or Silicone implant removal

Saline or Silicone implant rupture signs are completely different, understanding how these devices behave in case of rupture, patients can act as quickly as possible and look for medical assistance.

Saline Rupture

When a saline implant has ruptured, it will start to deflate and the saline will be reabsorbed by the body. The affected breast will experience a change in shape and size. The saline leak can happen at once or it can take a few days.  This can leave you with a deflated misshapen breast.

Silicone Rupture

It is common that a silicone rupture goes unnoticed. Once the silicone implant breaks the silicone gel will remain inside the implant or leak into the surrounding tissue. Silicone Rupture is known as a silent rupture since many patients do not realize that their silicone implant has ruptured. However, over time some patients report pain and/or tenderness in the breast.

Breast Implant Removal

Breast Implant Maintenance

After a breast augmentation, Dallas board-certified Dr. Azouz, encourages you to keep all of your future appointments for an annual physical exam of your implants. During your annual exam, Dr. Azouz will determine if you need imaging such as an MRI to check the integrity of your implants or if he suggests removal of your breast implants. 

What are my surgical combination options with Implant Removal?

After saline or silicone implant removal, the breasts do not come back to the original condition and this can lead to an unwanted cosmetic result, such as sagging, deflation, or asymmetry. Although some women choose just to have their implants removed others would like to undergo combination surgeries to recreate full breasts. The most common combination surgeries are implant removal with a breast lift and implant removal with implant replacement. During your consultation with Dr. Azouz, he will review all of your surgical options and create a surgical plan to meet your specific aesthetic goals. 

How to pick the best plastic surgeon for breast implant removal?

When choosing the plastic surgeon to perform your implant removal surgery there are a few questions you should ask.

– Is the plastic surgeon board certified? At Azouz Plastic Surgery plastic surgeons are board-certified by the American Board of Plastic Surgery. 

– How often does the surgeon perform this surgery? Dr. Azouz performs this surgery multiple times a week. 

– How many years of experience does the plastic surgeon have? Dr. Azouz has over 35 years of experience. 

– Does the surgeon operate at an accredited facility? Dr. Azouz has privileges at multiple accredited facilities in the Dallas Fort Worth metroplex. 

Schedule a consultation with Dr. Azouz

Breast implants technology has made them last a long time; however, cracks can happen over time to anyone. If you suspect having a breast implant rupture, schedule now an explant removal consultation with Dr. Azouz in Dallas by calling 972 702 8888. 

Options After Breast Implant Removal in Dallas

Breast Implant Removal in Dallas is a cosmetic plastic surgery for those women who would like to refresh their breast’s appearance or remove their implants due to an implant rupture or normal wear and tear. Depending on the case and aesthetic goals, women have different options to choose from when undergoing breast implant removal. Find out more about your plastic surgery options tailored to your personal case by arranging an initial consultation with Dallas plastic surgeon Dr. Azouz by calling 972 702 8888.

Breast Implant removal options

By understanding the different breast implant removal options, you can decide what surgical technique might help achieve your aesthetic goals.

1. Breast Implant Removal and Replacement

In some cases, patients need to explant their breast implants due to health concerns and replace them due to a rupture or normal wear and tear. Other reasons to remove and replace breast implants are when lifestyle or preferences have changed.  This can lead women to decide to change their implants for smaller or bigger implants.  Some women have pain or discomfort with silicone implants and wish to change them for saline implants.  Other women are uncomfortable having textured implants in place and desire them to be removed and replaced with smooth non-textured implants. 

2. Breast Implant Removal with Lift

Some patients remove their implants and do not replace them with new ones. In this case, women have the option to undergo a breast implant with a lift. After removing your implants, a breast lift is performed to avoid droopy breasts. With this technique, excess skin is removed, and the remaining tissue is tightened, achieving a more youthful look.  A breast lift can take the form of a mini lift (with minimal scarring), a lollipop (with a circumareolar and a vertical component), or an anchor lift (wise pattern).  Moving the nipple and areola complex with a lift is called a “mastopexy”.

Breast Implant Removal

3. Breast Implant Removal with Fat Transfer

Women looking for a natural breast appearance might undergo breast implant removal to remove capsules from their breast pockets. Patients can retouch their breasts with fat transfer after a few months or at the same time as removal.

4. Removal of textured breast implants

Textured implants have been recalled by the FDA.  Even though the FDA does not recommend explanting implants that are in place in the absence of symptoms or a rupture, some women still desire removal of these implants.

How to select the best plastic surgeon to perform your breast implant removal?

Selecting the right plastic surgeon is important.  It is important to look for an American Board Certified Plastic surgeon who is experienced in breast implant removal.  Dr. Azouz is an American Board-certified plastic surgeon who routinely performs breast implant removal with enhanced recovery.  Dr. Azouz strives for the best recovery by avoiding the placement of drains, minimizing pain, discomfort and nausea after surgery with an enhanced recovery protocol. 

Breast Implant Removal in Dallas

Breast Implant Removal in Dallas is an excellent alternative for patients who want to undergo plastic surgery with a highly trained and experienced plastic surgeon, such as Board-Certified Dr. Azouz. At the initial consultation, Dr. Azouz will perform a physical examination, determine which surgical technique is the best to help you enhance your breast area, and address all your Breast Implant Removal questions regarding what to expect before, during, and after surgery.  Dr. Azouz strives to afford his patients the best experience and results possible in their breast implant removal journey. 

Schedule a consultation with Dr. Azouz

To learn more about what Breast Implant Removal option suits you best, schedule a consultation with Dr. Azouz in Dallas by calling 972 702 8888. Dr. Azouz is also available for virtual consultations for those patients living out of the DFW area. Contact Azouz Plastic and Cosmetic surgery to book your appointment now!

Is earlobe reduction right for me?

Earlobe reduction surgery also known as “lobuloplasty” is when the size of the ear lobe is made smaller. This can be done by itself or in conjunction with an otoplasty (ear setback) The earlobe size and shape can be affected by trauma, wearing heavy earring, gauging (stretching), or it can also be congenital. Ideal candidates for earlobe reduction surgery in Dallas are individuals who find their earlobe has a sagging appearance. The size of your earlobe can be changed and stretched out due to trauma, wearing heavy earrings, gauging (stretching), and can also be congenital. Both men and women can feel their ear is stretched out as a result of skin laxity.  

Benefits of earlobe reduction

The benefit of undergoing earlobe reduction surgery with Dr. Azouz is regaining a more natural look to your earlobe. Many patients report that they no longer try to hide or cover their ears with their hair, hats, or scarves. Earlobe reduction surgery will also give you a more youthful appearing earlobe

During your earlobe reduction surgery in Dallas with plastic surgeon Dr. Azouz, you will (in most cases) receive a combination of sedation and local anesthesia. Dr. Azouz prefers to use the combination of sedation and local anesthesia compared to the use of general anesthesia when performing lobuloplasty. 

Some patients are interested in combining ear surgery with other plastic surgeries. There are many plastic and cosmetic procedures that Dr. Azouz performs in combination with earlobe reduction surgery. The most common combination surgery for lobuloplasty is a facelift or neck lift. Dr. Azouz is able to rejuvenate the earlobes by adding fat through fat grafting or by removing excess skin.

Some of these combination surgeries include:

– Liposuction

– Thigh lift

– Drainless tummy tuck

– Mini tummy tuck

– Breast lift

– Breast augmentation

– Gynecomastia (Male breast reduction)

– Facelift or neck lift

– Eyelid surgery (Blepharoplasty)

Schedule your consultation with Dr. Azouz

If you are interested in an earlobe reduction consultation, contact Dr. Azouz to evaluate your case by calling 972 702 8888.

Can a ripped earring hole be fixed?

If your earlobe has been torn or ripped due to trauma, years of wearing heavy earrings, or will not close up after gauging, then you are a candidate for torn earlobe repair surgery is the ideal solution to repair your earlobe. After undergoing torn earlobe repair, your earlobe will have a natural appearance, and you won’t have to cover it with long hair or scarves.  Many patients desire to combine their ear lobe repair or enhancement surgery with a facelift or neck lift.  Loose skin of the earlobe can be representative of loose skin of the face and neck.

What are the benefits of undergoing an earlobe repair surgery?

Many patients report that they feel confident after surgery and are not afraid anymore of showing their earlobes since the results after surgery are fantastic. This type of ear surgery is very popular. Dallas plastic surgeon Dr. Azouz has the ability and experience to help patients to correct torn or ripped earlobes and achieve great-looking earlobes with minimal signs of scars.

What to expect from an earlobe repair surgery?

While performing a torn earlobe repair surgery, Dr. Azouz will usually use a combination of sedation and local anesthesia. Dr. Azouz prefers to use local and sedation anesthesia versus general anesthesia due to the quicker postoperative recovery.

After earlobe repair surgery is completed, Dr. Azouz suggests taking it easy for the first few days after your torn earlobe repair. With that being said, most patients are able to return to work for desk duties within the first week following their surgery. Dr. Azouz will instruct you when you can add more strenuous activities into your daily routine. 

Many patients are interested in combining ear surgery in Dallas with other cosmetic procedures since it is cost-effective and can undergo multiple surgeries with one time recovery. A few surgical options include:

– Facelift 

– Neck lift 

– Forehead reduction

– Brow lift

– Eyelid surgery (Blepharoplasty)

– Chin augmentation

– Neck liposuction

– Breast lift

– Breast augmentation

– Gynecomastia (Male breast reduction)

– Arm lift (Brachioplasty)

– Tummy tuck

Schedule a consultation with Dr. Azouz

Earlobe repair surgery with Dallas plastic surgeon Dr. Azouz will correct the tear that you have in your earlobe and help you to regain a more natural-looking appearance. Contact Dr. Azouz for an initial consultation by calling 972 702 8888.

What are the benefits of Breast Augmentation with fat transfer?

Breast Augmentation with fat transfer is also known as natural breast augmentation. Instead of using a saline or silicone implant, plastic surgeon Dr. Azouz would use your tissue to create a full breast. The fat or tissue is placed strategically to enhance your breasts. This is the cosmetic plastic procedure to go for those women who would like to create a more full-looking breast but are concerned about breast implants made out of silicone or saline since complications might occur with silicone or saline, such as capsular contracture or implant rupture. If you would like to have a breast augmentation; however, you are not sure if fat transfer is the ideal procedure to go, contact board-certified Dr. Azouz in Dallas. At the initial consultation, Dr. Azouz will explain the fat transfer breast augmentation pros and cons, so you can make an informed decision and select the right plastic procedure to achieve your aesthetic goals.

Benefits of breast augmentation with fat transfer

The benefits of undergoing a breast augmentation with fat transfer with Dallas plastic surgeon Dr. Azouz are:

– Having more full breasts without a saline or silicone implant. 

– Minimal incision

– Fix minor breast asymmetry

– A longer -lasting result

– Obtaining a beautiful results with a natural look

Many of Dr. Azouz’s patients who undergo breast augmentation with fat transfer will add a combination surgery such as a breast lift to create a beautiful feminine figure. There are many surgeries you can combine with your natural breast augmentation. Some of these surgeries include:Thigh lift

– Breast lift

– Liposuction

– Brachioplasty

– Tummy tuck 

– Neck lift

– Face lit

– Eyelid surgery (Blepharoplasty)

– Forehead/brow Lift

Breast augmentation with fat transfer cost

The cost of natural breast augmentation has many variables and differs depending on each patient’s needs and goals. During your consultation with Dr. Azouz, he will create a surgical plan to achieve your aesthetic goals. 

Contact Dr. Azouz for a breast augmentation with fat grafting

Dr. Azouz is a board-certified plastic surgeon specialized in natural breast augmentation in Dallas, Tx. If you are interested in breast augmentation with fat grafting, contact Dr. Azouz by calling 972 702 8888.   

What’s new in Gynecomastia Treatment?

One of the newest cosmetic surgery trends is more men seeking improvement in their chest’s look through Gynecomastia treatment. Years ago, men thought that the best treatment for male breasts was to lose weight. Now, more men are discovering that cosmetic surgery provides the sculpted, masculine chest they desire. 

Gynecomastia surgery with Dr. Azouz is a day surgery and involves an enhanced recovery protocol meaning most patients describe recovery as pain-free.  Local blocks, specialized medications, and fluids are used to minimize pain.  Dr. Azouz also performs male breast reduction via a drainless procedure, with camouflaged scars and a minimally invasive technique.  This avoids the large scars that can be an obvious sign that cosmetic surgery has been performed.   

Gynecomastia Surgery l Dallas l Dr. Azouz

Dr. Azouz has also created customized liposuction cannulas used specifically in gynecomastia surgery.  These cannulas allow for the removal of both glandular and fatty tissue with high-definition body sculpting techniques.   Dr. Azouz can also directly excise the gland or “breast bud” via a small camouflaged incision.   Dr. Azouz explains that removing the gland is imperative to gynecomastia surgery and is often impossible with liposuction alone.  

What are the current trends for Gynecomastia surgery in Dallas?

According to The Aesthetic Society, liposuction is the most common cosmetic surgical procedure in men, with breast reduction treatment of gynecomastia as the second most common. More and more men are also choosing to combine their cosmetic surgeries.  The most common combinations are:

– Daddy do-over with male breast reduction combined with liposuction of the abdomen

– Daddy do over with male breast reduction combined with tummy tuck

– Male breast reduction combined with eyelid surgery (blepharoplasty)

– Male breast reduction combined with nose surgery (rhinoplasty)

These national trends are in keeping with the trends Dr. Azouz has seen in the Dallas/Fort Worth metroplex.  

Is there a “right age” to have gynecomastia surgery?

There is no right age to address male breasts.  Dr. Azouz performs the surgery in preteens, teenagers and even in men who are in their sixties and seventies.  Most men who are older to report wishing that they had done it sooner.  

How does gynecomastia surgery deal with loose skin after removal of the male breast?  

Dr. Azouz uses specialized liposuction techniques including tumescent liposuction, power-assisted liposuction, and safe liposuction among other techniques to tighten the skin after gynecomastia surgery.  Some patients with gynecomastia and loose skin will require skin tightening procedures or breast lifts at a different time.  Dr. Azouz discusses the chance of needing a skin tightening operation in the consultations.

Why are men flying to Dallas for male breast reduction? 

Dallas has become a hub for Gynecomastia treatment.  More and more men are electing to fly into Dallas from all over the United States because of cutting-edge and novel techniques offered by board-certified plastic surgeons Dr. David and Dr. Solomon Azouz.  Both plastic surgeons have extensive experience in male plastic surgery and are Board Certified by the American Board of Plastic Surgery (ABPS).

Contact Dr. Azouz for a consultation

If you are interested in Gynecomastia treatment in Dallas contact our office to arrange your initial consultation with Dr. Azouz by calling 972 702 8888.


Breast Implant Rupture

What is Breast Implant Rupture?

A breast implant rupture can occur in both saline and silicone implants. While extremely durable, breast implants have a small risk that the shell will develop a hole over time. A little known fact is that both saline implants and silicone implants have a silicone shell. The bid difference in a saline versus a silicone rupture is not the broken shell but what leaks out.

In the older style of silicone implants, silicone would leak out like syrup. With newer cohesive gel implants the silicone leaks out like a gummy bear.

With saline implants, saline will leak out over a few days or hours. It is much easier to know if a saline implant has broken or is leaking as compared to a silicone implant.

Regardless of the type of implant, when a rupture occurs, women may start to see changes in the contour and shape of their breast. In some cases, a broken or ruptured implant can cause pain or discomfort in other cases a rupture is not even noticed. A sudden busted implant is possible but uncommon.

Breast implant rupture symptoms

Patients who has a breast implant rupture have reported the following symptoms:

  • Deflated implants
  • Change in implants shape
  • Hard lumps over the implants
  • Burning sensation
  • Swelling
  • Numbness
  • Sudden sagging of the skin of breast
  • Change in the position of the nipple
  • Swelling in the armpits or swollen lymph nodes (adenopathy)

Breast Implant rupture removal

To avoid further complications, ruptured breast implants need to be removed as they can potentially lead to health problems in the future. Depending on the patient aesthetic goals, there are a few surgical breast implant removal options which include:

  • Implant removal
  • Implant removal with a breast lift
  • Implant removal with breast augmentation (implant exchange)

Benefits of Breast Implant Rupture Removal

Women who undergo breast implant rupture removal surgery often report that there is an improvement to their overall health. There is also an improvement to the feminine figure as the ruptured implants can become deflated and start to look unnatural.

Combination of a Breast Implant Rupture removal with other plastic surgeries

There are many other plastic and cosmetic surgeries that Dr. Azouz can combine with your breast implant rupture removal and/or replacement. Some of these combination surgeries include:

  • Brow lift
  • Eyelid surgery (blepharoplasty)
  • Otoplasty (ear surgery)
  • Facelift
  • Brachioplasty
  • Breast augmentation
  • Breast lift
  • Tummy tuck
  • Liposuction

Schedule a consultation with Dr. Azouz

Before undergoing breast augmentation or breast implant exchange, it is important that patients discuss with a board-certified plastic surgeon the type of implant that will be used for breast augmentation to compare the benefits and compromises of each type of implant. If you are worried about a possible breast implant rupture, schedule an appointment with plastic surgeon Dr. Azouz in Dallas by calling 972 702 8888. At the consultation, Dr. Azouz will evaluate your case and guide you through the process to make sure your implants are in good standing.

What are the best sleeping positions after having plastic surgery?

Getting enough sleep after your plastic surgery procedure is a critical part of your healing process. Sometimes, it is not easy to find a comfortable and beneficial sleeping position after your plastic surgery procedure. With that said, Dallas board-certified plastic surgeon Dr. Azouz shares some tips for the best sleeping positions depending on the body’s area that you have surgery.

Recommended Sleep positions after a facelift/ Eyelid/Brow Lift

Patients undergo facelift, browlift, and/or eyelid surgery to create a well-rested youthful appearance. After facial plastic surgery, such as facelift, browlift, and/or eyelid surgery, Dr. Azouz suggests that you sleep with your head elevated. This can be achieved by sleeping in a reclining chair or propping yourself up on a few pillows. Patients are advised to sleep on their backs versus their sides or stomachs for optimal comfort and healing.

Sleeping after plastic surgery Dr. Azouz Dallas

Best sleeping position after a Gynecomastia surgery/Poland Syndrome/ Breast augmentation/ Breast reduction/ Breast revision

There are a few plastic surgery procedures that can be performed on the chest. A few common male plastic surgery procedures that involve the chest are gynecomastia, also known as male breast reduction, Poland Syndrome, nipple reduction, and revision surgeries.  A few common female plastic surgery procedures that are done on the chest include breast augmentation, breast reduction, Poland syndrome, and breast revision surgery. After undergoing a plastic surgery procedure that is performed on the chest area, Dr. Azouz suggests sleeping on your back. While sleeping on your back after your plastic surgery procedure it is also beneficial to keep your chest elevated. Dr. Azouz suggests sleeping in a recliner position which can be achieved by sleeping in a recliner or putting a few pillows behind your back to help keep your upper body elevated. 

Suggested sleeping position after a Lipedema/ Liposuction/ Thigh lift

Dr. Azouz performs many procedures on the lower part of the body. A few popular plastic surgery procedures include lipedema, liposuction of the legs, and thigh lift surgery. Each of these procedures can improve the aesthetic appearance of the legs. After undergoing lipedema, liposuction of the leg, or a thigh lift Dr. Azouz suggests that you sleep on your back with your legs elevated. While you are sleeping the easiest and most convenient way to elevate your legs is to place four or five pillows under your legs. 

Getting enough sleep is important for normal daily living, but it is a key factor in your healing process after plastic surgery. If you are looking for more information or have more questions specific to your plastic surgery needs? Book a virtual or face to face consultation in Dallas with Dr. Azouz by calling 972-702-8888.

Benefits of a Brazilian Butt Lift?

Brazilian butt lift surgery is a popular plastic surgery women undergo to achieve the figure of their dreams. In recent years, most women have found that it is not very easy to attain their ideal figure through diet and exercise. One increasingly effective way to achieve volume is with the Brazilian butt lift.

If you are considering ways to achieve a curvier figure, it can be helpful to know what is the procedure and the benefits of the Brazilian butt lift performed by Dallas Top Surgeon Dr. Azouz.

How Brazilian Butt Lift is performed?

Dr. Azouz will shape the legs and buttocks through a variety of effective techniques including liposuction of the thighs, under the buttocks, and pulling the buttocks up via a posterior body lift. Fat grafting or fat transfer are options but are not necessary for all patients.

What are the benefits of Brazilian Butt Lift?

Double the perks

The Brazilian butt lift focuses on enhancing your butt; however, this process also addresses other areas simultaneously. Because it requires some fat transfer techniques to enhance your figure, you can enjoy slimming in other areas like the stomach or hips. For many women, fat in these areas can be famously hard to get rid of with just diet and exercise, making the Brazilian butt lift a beneficial option versus other types of butt augmentation.  Liposuction is used to harvest fat from the abdomen, thighs, flanks, and saddlebags.  

Customized results

Fat transfer involves using liposuction to collect fatty tissue from another area of the body. Once this is complete, the fat is purified and injected into the butt. Unlike implants that come in a fixed size and shape, Dr. Azouz can customize the quantity of fat he uses to achieve the right fullness, volume, and shape for your goals.

Minimally invasive

Although your procedure will require some anesthesia and recovery time, it is far less invasive than alternatives like implant surgery. Liposuction is performed using local anesthesia and sedation along with very small incisions, both of which can drastically cut down your recovery time.  Sedation usually means that you are asleep but do not need a machine breathing you.  The risk of visible scarring that can come with implant surgeries is greatly reduced with this method as well.  After a Brazilian Butt Lift Surgery, you will need to wear a compression garment and avoid putting pressure on your butt (including sitting or laying down) for long periods of time, so the new fatty tissue can have the chance to establish itself. Overall, you can expect to get back to your regular schedule within a couple of weeks.

Long-lasting results 

After a butt lift surgery, it can take a few months for your results to settle in as the fat adjusts to the new area. But, after this point, you can enjoy long-term results. This is because the fat is your own natural tissue and will stay in place as long as you maintain a healthy lifestyle.

Cost of a Brazilian butt lift surgery in Dallas

The cost of a Brazilian butt lift surgery varies from patient to patient.  Some patients require only liposuction of the thighs and around the buttocks while others need significant fat grafting.  Dr. Azouz is able to assist patients in financing their plastic surgery procedures with Care Credit, Alphaeon credit, or with a variety of other methods.

Contact Dr. Azouz

The Brazilian butt lift surgery is one of the fastest-growing procedures in the cosmetic community for its great results and effective solution when diet and exercise don’t produce results. To get started, schedule a consultation with Dr. Azouz in Dallas or call 972 702 8888.

Dallas Fort Worth Plastic Surgeon Dr. David Azouz discusses Cosmetic Areolar Reduction

Nipple Areola Reconstruction/Reduction

The areola and nipples can often be disproportionate to the breast or chest.  Both men and women can suffer from abnormally large or small nipple/areolar size.  This can worsen asymmetry or can cause difficulties with tight fitting clothing. 

Some of the common causes of nipple-areolar size discrepancies are size changes to the breast such as pregnancy, breastfeeding, and gynecomastia. Genetics can also be a factor in nipple-areola disproportion. Fortunately, all of these concerns can be resolved through a relatively simple procedure called nipple or areola reconstruction.

Nipple Reduction or Areolar Reduction: What are the Common Reasons?

The most common reason for men to desire nipple/areola reduction is because they have underlying gynecomastia.  In women the most common reason to desire nipple/areola reduction is because they have enlarged or sagging breasts and thus they are in need of a breast lift or breast reduction. 

Some patients are left with a small or a flat nipple areola after surgery.  Dr. Azouz is able to help many patients who have had plastic surgery performed elsewhere and seek more symmetry with a revision procedure.  Dr. Azouz frequently performs revision male breast reduction or revision breast lift. 

Areola Reconstruction Surgery: Who Can Benefit?

Nipple reconstruction surgery changes the shape and reduces the size of the areola. Areola surgery can be done by itself or in conjunction with a breast reduce or breast lift. Nipple puffiness can be reduced in patients who have disproportionate areola and nipples due to post breast-feeding and men with “puffy nipples” who are suffering from male breast. Other candidates include individuals who would like their inverted nipples reconstructed. Inverted nipples may result from scarring or genetic factors.

Areola Reconstruction Procedure?

In a typical areola reduction surgery, the first step is making an incision around the areola, followed by removing the excess tissue and skin. By making the incision around the areola the scar is well hidden along the border of the areola/nipple. When repairing inverted nipples the incision is also hidden. After making a small incision the scar tissue or other connective tissue holding the inverted nipple in place is removed.

Nipple/Areola Reconstruction Recovery Time

Most patients report that nipple reduction is not painful and are able to do light activities such as computer work, and leisure walks within days. Intense physical activity such as lifting heavy weights should be avoided during the initial healing process. With that being said, Dr. Azouz monitors each patient on their individual healing process with follow up appointments and will advise you when you can slowly return to your daily activities and strenuous exercises.

Areola/Nipple Reduction Surgery: Frequently Asked Questions

Nipple reduction surgery is considered permanent. In men the nipple areola can increase or decrease by a small amount with weight changes and it is not uncommon for the nipple to still function normally after surgery.  However, results are generally permanent, dramatic and aesthetically pleasing. The statifiation rate with nipple reduction surgery is extremely high.

Can I Make My Nipples Smaller Without Surgery?

Surgery is the gold standard to anatomically change the shape, size and prominence of the nipple areolar complex.  Medical weight loss and hormonal treatments are typically not the best method of reshaping the nipple areola.

Is Nipple Reduction Surgery an Outpatient Surgery?

Yes, nipple reduction is performed as outpatient surgery, meaning you go home the same day after surgery.  Similarly, Dr. Azouz performs the vast majority of plastic surgery procedures as outpatient surgery, including breast lift, male breast reduction, areolar reconstruction, and breast augmentation.  

How Long is the Recovery for Nipple Reduction?

The recovery for nipple reduction is generally quite quick.  Most patients do not report significant swelling or pain. Dallas plastic surgeon Dr.  David Azouz, performs plastic surgery with enhanced recovery. Patients can generally go back to activities including heavy exercise, powerlifting, gymnastics, and contact sports within five to six weeks after their plastic surgery.

Can You Fix an Inverted Nipple Without Surgery?

Inverted nipples are generally repaired surgically.   Inverted nipples are common and can affect approximately 5-10% of men and women.  Nipples can be permanently inverted or temporarily inverted.  Nipple retractors, extractors, shells, and cups are generally associated with temporary and modest results.  Nipple piercing is an option for stabilizing and preventing nipple inversion.  Nipple piercings can eventually be removed once the nipples heal in an everted position. Dr. Azouz is generally able to preserve the milk ducts for patients who undergo nipple reconstruction so they may still breastfeed.

Can a Nipple Reduction be performed at the same time as gynecomastia surgery?

Yes Dr. Azouz frequently performs gynecomastia surgery concurrently with nipple and areola reduction surgery.

Can flat nipples stick out more?

Yes, flat nipples can protrude more with inverted nipple surgery performed by Dallas plastic surgeon Dr. David Azouz.  

Schedule a Consultation

If you’re interested in areola reconstruction, schedule a consultation with Dr. Azouz at Azouz Plastic and Cosmetic Surgery in Dallas, TX. Call (972) 702-8888 or request an appointment online.