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Video

Voiceover:
Dr Dawn meets young mum Kirstie, who has inverted nipples. She’s been suffering from the condition since puberty.

Kirstie:
It’s just a hole, it just looks like a hole.

Voiceover:
Dr Dawn sent her to see cosmetic surgeon Dr Yannis Alexandrides.

Mr Alexandrides:
The, um, ducts that provide with milk go through your nipple and sometimes these ducts are short. And because they’re short, they pull the tip of the nipple inwards. And we can extend and lengthen the ducts, so that this problem reverses.

Kirstie:
What are the chances of me, um, being able to breastfeed?

Mr Alexandrides:
They’re very high, they’re over 90%.

Mr Alexandrides:
Okay, if you look at the nipple, you’ll notice small dots. These are the points where the milk ducts attach to the surface of the nipple, and that’s how they pull it down. So I will be making a small incision around here to get access underneath and fix the problem.

Kirstie:
Okay.

Mr Alexandrides:
Okay?

Kirstie:
Yeah.

Mr Alexandrides:
Very good.

Voiceover:
Today she’s having surgery, and hopes to be able to breastfeed afterwards.

Mr Alexandrides:
Okay, so we’re ready to start. Um, we’ve already put a little bit of numbing gel, so I’ll do a small injection with the anaesthetic. If it hurts, let me know…

Kirstie:
Yeah.

Mr Alexandrides:
We’ll do it slowly, so that’s as painless as it gets.

Voiceover:
Inverted nipple correction surgery is a swift procedure, and is normally done under a local anaesthetic.

Mr Alexandrides:
This is the worst part.

Voiceover:
Surgery involves making a small incision in the aureole, around the base of the nipple. The milk ducts are stretched, and then the nipple and underlying tissue are then raised and stitched into a protruded position, while partially preserving the milk ducts with the aim of allowing her to breastfeed.

Mr Alexandrides:
Okay, good. All done. Now I’m going to put this uh, dressing on it, so it will keep it up for the first week, okay?

Voiceover:
The average recovery time is between one and two weeks, though scarring may take many months to fade.

Mr Alexandrides:
All right, you did very well.

Kirstie:
Thank you.

Mr Alexandrides:
Happy?

Kirstie:
Yeah, more than happy.

Mr Alexandrides:
Okay, very good. Well, it all went very well, we had no problems, and uh, we placed some special uh, dressings on the nipples to keep them erect for the first week. It’s important during the first week for the nipple to be in this position, so everything that heals underneath will secure it in that position, so it won’t go back again. Ah, so after a week she’ll come back to our clinic here, we’ll check on her, we’ll remove this dressing and the stitches, and following that, she can go back to her normal activities.

Voiceover:
Eight weeks after the operation to correct her inverted nipples, young mum Kirstie is back to see Dr Dawn.

Dr Dawn:
How have you got on?

Kirstie:
Very well, thank you.

Dr Dawn:
Okay, and so, are you pleased with the results?

Kirstie:
Oh yeah.

Dr Dawn:
Oh, look at you, are you?

Kirstie:
I feel like a full package now, and not sort of like a discounted, uh, thing.

Dr Dawn:
So it’s had a huge impact on you emotionally, then.

Kirstie:
Yeah.

Dr Dawn:
Okay, and did they talk at all about the implications for breastfeeding?

Kirstie:
Yeah, he said there’s about a 5% chance that I wouldn’t be able to breastfeed, so…

Dr Dawn:
For you that was a risk worth taking, then?

Kirstie:
Yeah, definitely.

Dr Dawn:
Okay. Can we have a little look at the results?

Dr Dawn:
So there’s no scar at all, really, is there?

Kirstie:
No.

Dr Dawn:
Where was the incision, just…

Kirstie:
Um, I think it’s…on this one, you can see a little bit, it’s just where those two holes are there.

Dr Dawn:
Well, that’s just amazing, isn’t it?

Kirstie:
There’s nothing, you can’t really…Unless you knew, you wouldn’t know.

Dr Dawn:
No, you’d never know. Because when I saw you before, the actual nipple was really retracted into the breast tissue.

Kirstie:
Yeah, it was just a hole.

Dr Dawn:
Yeah, and do they stick out more when you get cold and things now as well?

Kirstie:
Yeah, they’re huge!

Dr Dawn:
Well, I think you’ve done really well, thank you very much for coming back, all right?

Kirstie:
Thank you.

Read the video transcript

Kirstie, 21, dropped in to see Dr Dawn concerned about her inverted nipples which she’d been suffering with since puberty. Kirstie’s inverted nipples meant that she had been unable to breastfeed her baby and the thought of going through the same pain again was putting her off having more children. Dr Dawn sent her to see breast specialist Dr Yannis Alexandrides who advised a surgical procedure which would give Kirstie a 90% chance of being able to breast feed. Surgery was successful so Kirstie returned to the clinic to show Dr Dawn the vast improvement.

Patient name: Kirstie Tillier
Condition: Inverted Nipples
Specialist: Yannis Alexandrides
Clinic: 111 Harley Street Harley Street”:http://www.111harleystreet.com/

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If the NHS fund for nipple correction? How do you get put forward for it. Inverted nipples causes me a lot of self confidence issues and effects my everyday life. If anyone knows how you get put forward for NHS surgery for nipple correction. I'd be grateful for any information..thanks





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Can I get nipple inversion correction surgery on the nhs? Hi. I am 18 and have true inverted nipples. Meaning they have never been erect. I am so self conscious about this. I have had multiple sexual partners and have never been able to take my bra off infront of them. I have a new partner who I am planning to have sex with n the near future. However I am not comfortable with him seeing my breasts. They have effected my self confidence since I can remember from around the age of 12. Please help...I want them gone and don't know what to do!!!!





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Hi. I have the same issue. It effects my self confidence a lot. Could you please tell me how you got on? Can you get it on the NHS?

I have one inverted nipple have had since I was young and it nakes me so less confident I hate. my boobs where i had lost loads wiight from size 14-8 there sagey where I lost weight anf reaily won't to somthing about it I hard them Wont even lay without a bra in. Bed





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Can I get inverted nipple correction surgery funded by the NHS?





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Hi. I am 18 and have true inverted nipples. Meaning they have never been erect. I am so self conscious about this. I have had multiple sexual partners and have never been able to take my bra off infront of them. I have a new partner who I am planning to have sex with n the near future. However I am not comfortable with him seeing my breasts. They have effected my self confidence since I can remember from around the age of 12. Please help...I want them gone and don't know what to do!!!!





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Hi I'm 24 years old and I have had inverted nipples since I can remember! I have been with my boyfriend for 5 years and I haven't got the confidence to take my bra off or to even let him see or touch my boobs. It really gets me down and I feel so self conscious. I have inquired at my doctors if there's anything I could have done, they keep on telling me it's normal. I don't feel normal at all. Is there another way I could get advice on this please?





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How old do you have to be to have the surgery?





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I have one inverted nipple, and the other seems to be flat and it makes me feel very self concious. Does anyone know how old you have to be in order to get this surgery?





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Iam similarly stressing out about the state of my boobs- as have always had inverted nipples and now really want to do something about it. I am 36 and am in 2 minds about surgery... on the one hand I would like it done entirely for personal reasons-to feel better about myself... but on the other I have always abhored the idea of medical intervention in order to cosmetically alter the body....I would like advice from others who feel the same and how to justify it to myself...! Also... anyone know of the options in Dorset? Also I DID breastfeed succesfully for a year, but that now adds to the 'drunk and sunk ' look that I detest!Look forward to replies!





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Hey, I was in the same situation as you.. I’ve always had inverted nipples and I've always felt quite self conscious about it so I recently decided I was gonna do something about it. Having to get surgery was daunting at first but I found this really good clinic called Aurora after doing a lot of research! I made an consultation and the doctors couldn't be anymore helpful and reassuring! Since then I've had both my nipples corrected and it really has gave me so much confidence. if your worried about it I would say just go for it, the procedure is over within half an hour and doesn't hurt at all. Would highly recommend Aurora as they are so professional! I hope this helps :)

I have had inverted nipples all my life, my right one impossible to bring out. At 18yrs I saw a specialist about surgery but was put off about possible breastfeeding difficulties. It has been my life long goal to have them operated on and now after my divorce last year it is time for me to change my appearance and give me some confidence back and feel feminine. I would like to have surgery as soon as possible as I am embarrassed about meeting a new partner. I'm 40+ and think it's long overdue. What would be the best way to start the precedure for surgery. I live in Tyne and Wear.





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