Many people are worried about not being able to breastfeed because their nipples do not come out properly. If your nipples come out with a little stimulus or massage, you can often breastfeed during pregnancy by wearing a silicone cap or other device, which is usually not covered by insurance.
On the other hand, if the nipple does not come out at all when stimulated or with orthodontic devices, it may be a severe inverted nipple. In this case, one-day surgery with local anesthesia can be used under Japanese health insurance. There are various surgical styles for inverted nipples, but we are considering breastfeeding in the future as much as possible.
Specifically, after removing the strong fibrous scar tissue that is pulling the nipple downward, it is reinforced so that the nipple does not sink into the base (bottom part) of the areola. In addition, perform 2-3 Z-plasty on the boundary between the areola and the nipple to push up the nipple. The above is the general method, but in addition to this, in the case of the severity of the inverted nipple and the case of recurrence, a different surgical method is also adopted.
At our clinic, we always ask what is best for each patient’s condition in all surgery and treatment, and try to get the best result.
The rainy season is coming soon this year. It’s also a bad time for people with migraines and other types of headaches. It has been more than 10 years since Botox has been used to treat migraine in the United States. We have been using Botox for many years to treat headaches, but Botox may be the second choice in cases where other methods are not effective enough or side effects prevent us from taking existing medicines.
As we’ve mentioned several times before, why Botox is effective for headaches and why changes in barometric pressure, such as the rainy season, are discovered in 2021, Looking back at the Nobel Prize in Physiology or Medicine, you can understand to some extent. Dr. Davis and colleagues at the University of California have discovered that blood vessels on the surface of the brain have receptors for spicy sensation and pain (called TRPV1). It is now also known that this receptor is antagonized by Clostridium botulinum toxin (Botox).
There are also receptors in the brain that are sensitive to changes in barometric pressure. It can be said that the involvement of these factors in the development of headache has expanded the treatment options for headache by adding to the previous theories such as contraction and dilation of blood vessels and serotonin levels in the brain.
Our clinic has been treating headaches with Botox for over 10 years in line with US FDA protocols and guidelines.