PD Dr. Richard Fakin / Plastic Surgery / Gynecomastia

Inverted Nipple Correction

Madrid | Zurich

A nipple correction surgery might be needed after a breastfeeding period or due to an inverted nipple (nipple retracted beneath the dermis). This being a safe and effective surgical procedure.  More than 20% of men and women suffer this condition, likely provoking a negative effect in the way they perceive their self-image.


45-80 min



Fit to go back to work

3 days

Fit for everyday activities

2 – 3 days



Recovery time

1 month

Gynecomastia causes and diagnosis

The most common cause of gynecomastia is idiopathic, meaning there are no concrete medical reasons to explain the disorder. In some other cases, gynecomastia is related to endocrinological disorders, substantial weight fluctuations, excessive addictive substances consumption, certain drugs or sustained anabolic intake. The patient will be diagnosed using sonography and will have an endocrinological test done. True gynecomastia is diagnosed if a mammary gland disorder is found, or a pseudo-gynecomastia if caused by accumulated excess fat.

To learn more about our gynecomastia procedures, see our Instagram posts.

Surgical techniques and scars

A glandular tissue excision behind the nipple, via an incision below the areola, is the most habitual procedure. The scar has a demi-spheric shape in the areola’s hyperpigmented area and is almost totally invisible.

Liposuction is usually performed as a complementary procedure to sculpt a more balanced and symmetrical chest contour. Results will be further enhanced by the retraction of the skin after the intervention. Pseudo-gynecomastia can be treated with liposuction without the need for an open excision.

A periareolar mastopexy removes the excess skin around the nipple area. The reconstructed nipple is positioned to fit its natural location, reducing its size and shaping it in an oval for a more masculine look. Scars are almost invisible between the hyperpigmented circle and the skin around it.

To learn more about our gynecomastia procedures, see our Facebook posts.

Before and after, real cases

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