Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
This treatment reshapes outlying nipples for aesthetic pleasure, utilizing minimally invasive methods for natural results with quick recovery.
"},"1029":{"operation":{"name":"Nipple reduction","alias":"nipple-reduction","use_for_listing":true},"country_price":{"US":{"amount":3000,"max_amount":5500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1900,"max_amount":2700,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":800,"max_amount":1400,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":1900,"max_amount":3100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"ES":false},"description":"This surgery reshapes enlarged nipples for cosmetic improvement, performed under local anesthetic.
"},"1285":{"operation":{"name":"Inverted nipple surgery","alias":"inverted-nipple-surgery","use_for_listing":true},"country_price":{"US":{"amount":3000,"max_amount":6000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":550,"max_amount":2600,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":2300,"max_amount":2900,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":1900,"max_amount":3400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"ES":false},"description":"This operation corrects inward-pointing nipples, enhancing appearance and breastfeeding ability with minimal scarring.
"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":7,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":1758,"alias":"ergin-er","name":"Ergin Er","photo":"doctor/5cd02aa7a3f4e","advisory_text":"Dr. Ergin Er is a plastic, reconstructive and aesthetic surgeon who has performed more than 10,000 aesthetic procedures. He is a multiple award winner at Turkish National Congresses of Plastic Surgery and completed advanced training at Baylor College of Medicine in Houston, Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}]},"direction":{"id":38,"name":"Plastic Surgery","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":5,"unit":"days","qualifier":"Typical office work after minor nipple correction (e.g., inverted nipple release or nipple reduction); physical work may need longer."},"complication_rate_pct":{"min":3,"max":15,"unit":"percent","qualifier":"Any complication within 90 days (infection, hematoma, delayed healing, sensation change); serious ones under 1%."},"contraindications":["Active breast infection or skin disease at the surgical site","Pregnancy","Uncontrolled systemic illness or bleeding disorder","Current breastfeeding (usually deferred until after lactation)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Minor outpatient procedure under local anesthesia; same-day discharge."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity earlier; chest-strenuous exercise and pressure on the nipple avoided until cleared by the surgeon."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling and scar maturation settle over this period; varies by technique."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After the early wound check and nipple perfusion review; suture removal timing and surgeon clearance can extend it."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Early check of wound and nipple perfusion."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":10,"unit":"days","qualifier":"If non-absorbable sutures are used; falls inside the stay."}},{"purpose":"result_review","requirement":"routine","after":{"min":60,"max":90,"unit":"days","qualifier":"Assessment of shape and projection."}}],"indications":["Inverted or retracted nipple","Enlarged or elongated nipple (nipple hypertrophy)","Asymmetry of the nipples","Nipple deformity after breast surgery or trauma"],"main_risks":["Recurrence of inversion or retraction","Reduced or lost nipple sensation","Impaired ability to breastfeed (milk duct division)","Nipple ischemia or partial necrosis (rare)","Infection, bleeding or hematoma","Visible scarring or asymmetry","Delayed healing"],"pain":"Mild to moderate discomfort for a few days, usually managed with simple oral analgesics.","preparation":["Consultation to assess nipple type and duct preservation goals","Discussion of breastfeeding plans","Medical history review and routine pre-operative assessment as indicated","Avoid smoking before and after surgery as advised","Follow surgeon's instructions on medications and skin preparation"],"recovery_timeline":[{"phase":"Days 0-3","description":"Mild swelling, bruising and tenderness; protective dressing or nipple shield in place.","restrictions":["Avoid pressure on the nipple","Keep dressing dry"]},{"phase":"Days 4-14","description":"Swelling settles; sutures removed or dissolve; wound care continues.","restrictions":["No tight bras or friction","Avoid heavy lifting and vigorous chest exercise"]},{"phase":"Weeks 2-6","description":"Return to normal activity; tenderness and sensitivity gradually normalize.","restrictions":["Resume strenuous exercise only when cleared"]},{"phase":"Months 3-6","description":"Scars mature and final nipple shape stabilizes.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after a minor nipple correction."},"result_longevity":"Often long-lasting, though inverted nipples may recur in some patients depending on technique and severity; hypertrophy correction is generally permanent.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat surgery mainly for recurrent inversion; higher for severe inversion and duct-preserving techniques."},"scars":"Small scars at the nipple base or around the nipple, usually inconspicuous and fading over several months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One procedure per nipple pair, typically done in a single operative session."},"stages":[{"code":"nipple_correction","label":"Nipple correction procedure","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial session."}}],"qualifier":"Single-stage surgery for uncomplicated primary correction."},"success":{"metric":"Nipple projection maintained without recurrence of inversion","value":85,"unit":"percent of patients","horizon":"12 months","population":"Adults with mild to moderate inverted nipples, primary standalone correction","evidence_status":"limited"},"techniques":[{"name":"Inverted nipple release with duct-preserving technique","suits_whom":"Mild to moderate inversion, women wishing to preserve breastfeeding potential","recovery":"Recovery of about 1 week for routine activity."},{"name":"Duct-dividing release with purse-string suture","suits_whom":"Severe inversion with fibrosis, when breastfeeding is not a concern","recovery":"Similar to duct-preserving release, about 1 week to routine activity."},{"name":"Nipple reduction (wedge or circumferential excision)","suits_whom":"Enlarged or elongated nipples","recovery":"About 1 week to routine activity; sutures removed or absorbed in 1-2 weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Per procedure for both nipples in a standalone primary correction."},"initial_assessment_documents":["Front close-up photos of both nipples","Side-view photos of both nipples","Photos of nipples when stimulated or cold","Breast ultrasound or mammogram report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage outpatient surgery under local anesthesia; stay about 7-10 days to cover wound check and suture removal."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm your surgeon discusses options, risks and benefits before you decide, so you can make an informed decision","scope":"procedure","source":{"url":"https://www.cuh.nhs.uk/patient-information/nipple-reconstruction/","host":"cuh.nhs.uk","quote":"Your surgeon will discuss with you the options, risks and benefits in order for you to make an informed decision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Confirm a follow-up appointment is arranged after your operation to check wound healing","scope":"procedure","source":{"url":"https://www.cuh.nhs.uk/patient-information/nipple-reconstruction/","host":"cuh.nhs.uk","quote":"A follow-up appointment will be arranged for you one week after your operation to remove the dressing and check that the wound is healing properly.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm the person who will do the procedure is the one you consult before deciding","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Always book a consultation with the person who will do the procedure before making your final decision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask the surgeon to show before and after pictures of their 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many procedures like the one you're having they have done","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Ask about the surgeon’s training and qualifications","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"what training and qualifications they have","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Asked to pay for the procedure before any consultation has taken place","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Do not pay for a procedure until you've had a consultation to make sure it's right for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The clinic cannot show before and after pictures of its surgeon's work","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Cosmetic surgery offered on a website as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Be cautious of websites selling cosmetic surgery as part of a holiday.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The surgeon will not personally consult with you before your final decision","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Always book a consultation with the person who will do the procedure before making your final decision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"The clinic cannot explain who will provide aftercare","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"what aftercare you can expect and who will look after you","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"More bleeding from the wound than expected","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/9097-breast-surgery-options","host":"my.clevelandclinic.org","quote":"Bleeding from the surgical wound that’s more than you expect","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Redness at the incision site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/9097-breast-surgery-options","host":"my.clevelandclinic.org","quote":"Redness at the incision site","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Pain that persists even after taking pain medication","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/9097-breast-surgery-options","host":"my.clevelandclinic.org","quote":"Pain that persists even after you take pain medication","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever of 101 degrees Fahrenheit or higher","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/9097-breast-surgery-options","host":"my.clevelandclinic.org","quote":"Fever of 101 degrees Fahrenheit (38.33 degrees Celsius) or higher","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer trying a conservative measure before surgery","name":"Suction devices","source":{"url":"https://www.rightdecisions.scot.nhs.uk/national-referral-protocol/nhs-scotland-referral-protocol/breast-surgery/inverted-nipple-surgery/","host":"rightdecisions.scot.nhs.uk","quote":"Conservative measures using suction devices may be tried.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You have wider concerns about your appearance beyond the nipple","name":"Psychology referral","source":{"url":"https://www.rightdecisions.scot.nhs.uk/national-referral-protocol/nhs-scotland-referral-protocol/breast-surgery/inverted-nipple-surgery/","host":"rightdecisions.scot.nhs.uk","quote":"Psychology referral to aid understanding that the appearance is normal and to explore wider concerns may be of more benefit than surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"inverted-nipple-release","name":"Inverted nipple release with duct-preserving technique","how_it_works":{"text":"The procedure releases the tissues that hold the nipple 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