If the oppositel nipple is large enough, the lower half can be removed to form the new nipple. Surgery is usually performed under local anaesthesia. As this is the most natural form of reconstruction, this is our preferred procedure.

Skin from the groin can be used to reconstruct the areola, as the groin and nipple match in color. Only a line shaped scar remains on the groin. The skin graft is placed around the nipple, which is formed in the same session, and fixed with a bandage. After about one week the skin has healed. If there is excess skin, skin from the upper eyelids can also be used. This has the advantage that the droopy eyelids are eliminated. Alternatively, the areola can also be pigmented intradermally.

Immediately after the operation an appropriate bandage is applied to protect the nipple. This must be left in place continuously for at least one week. Further special treatments are usually not necessary.

The nipple may shrink in the further healing process. A further risk is the loss of skin and thus of the new nipple.