This develops in one of two patterns, either a firm button of tissue beneath the nipple or a diffuse fatty change with poorly defined edges. Sometimes both patterns are present. The type of surgery recommended depends on the pattern of enlargement. A common method is to remove the excess tissue through an incision around the nipple. The incision extends out from the nipple at 3 and 9 o'clock.
Liposuction is used to improve the contour or remove additional fat.
Ultrasonic liposuction appears to be helpful for removing the tissue and may avoid skin excision in some patients. Most of the time this is an outpatient operation and a stay in the hospital is not needed. All operations have some risk. It is possible to divide the risks of surgery into two groups. First those that are seen in all operations and second those that are unique or special for this operation.