A supernumerary nipple, commonly known as a third nipple, is an additional nipple that develops on the body. This condition is relatively common, though many individuals may not realize they have one. While often harmless, some people choose to have them removed, primarily for cosmetic reasons. This article explores what supernumerary nipples are, why individuals consider removal, the medical evaluation process, removal procedures, and what to expect during recovery.
Understanding Supernumerary Nipples
A supernumerary nipple is an extra nipple present at birth, forming during embryonic development along what are known as “milk lines.” These lines extend from the armpits down to the groin area on both sides of the body. While most often found along these lines, they can also appear in other locations.
These extra nipples can vary significantly in appearance, ranging from small, barely noticeable bumps to more developed structures resembling a typical nipple, sometimes with an areola. They are often mistaken for moles or birthmarks due to their small size and similar coloration. Supernumerary nipples affect up to 6% of the population.
Most supernumerary nipples are benign and do not pose health risks, so removal is often for cosmetic reasons. Individuals may feel self-conscious or embarrassed, influencing their clothing choices or activities. Rarely, a supernumerary nipple might be associated with underlying medical conditions, such as kidney issues. If the extra nipple causes discomfort, pain, or shows changes like hardening, lumps, or discharge, medical attention is advisable.
Initial Medical Evaluation
Anyone considering supernumerary nipple removal should consult a medical professional. This initial consultation typically begins with a general practitioner, who may then refer to a specialist such as a dermatologist or plastic surgeon. During this visit, the healthcare provider will take a detailed medical history and perform a physical examination.
The physical exam confirms the diagnosis, assessing the extra nipple’s size, location, and characteristics, including whether it contains underlying breast tissue. This evaluation helps distinguish it from other skin conditions and rules out any rare underlying medical concerns. The discussion will also cover the patient’s concerns, expectations for removal, and potential outcomes.
Removal Procedures
Surgical excision is the primary method for removing a supernumerary nipple. This procedure is generally quick and often performed on an outpatient basis, meaning no overnight hospital stay is required. Local anesthetic is typically used, which numbs the specific area, ensuring the patient remains comfortable and pain-free during the procedure.
During surgical excision, the surgeon makes a small incision around the supernumerary nipple, often in an elliptical shape. The extra nipple, along with any associated underlying tissue, is removed. The goal is to remove the nipple completely while minimizing the resulting scar. After the tissue is removed, the incision is closed with sutures, which may be dissolvable and hidden beneath the skin for a more discreet scar.
Post-Procedure Care and Outcomes
Following the removal procedure, patients can typically return home the same day. Post-operative care involves keeping the incision site clean to prevent infection and promote healing. A dressing is usually applied to protect the wound, which may be removed after one to two weeks, as advised by the healthcare provider.
Mild discomfort, swelling, and bruising are common in the days immediately following surgery, which can often be managed with over-the-counter pain relievers. Most individuals can resume light daily activities within a day or two, though strenuous activities and heavy lifting should be avoided for about two weeks to allow for proper healing. A small scar will remain, but surgeons aim to make it as unobtrusive as possible, often by placing incisions in natural skin creases. This scar may appear red or brown initially and can take up to two years to fade and lighten. Follow-up appointments are scheduled to monitor the healing process and address any concerns.