Treatment of politelia by plastic surgeon Dmitry Valeryevich Shagan in the city of Dnipro

Patients often come with complaints of discomfort, decreased self-confidence, or concerns related to appearance features and functional impairments.

The doctor conducts a thorough examination, reviews the medical history, and, if necessary, orders additional tests for an accurate assessment of the condition.

Based on the obtained data, a clear action plan is developed: what to do immediately, which examinations to undergo, and how to monitor changes over time.

A distinctive feature of Dmitry Valeryevich Shagan’s approach is the detailed analysis of complaints and dynamic monitoring of patients, which helps to timely adjust treatment and improve outcomes.

When to See a Doctor

Consulting a plastic surgeon is recommended if you are concerned about the appearance or functional issues related to polythelia. The doctor will assess your symptoms and medical history to determine whether treatment or further examinations are necessary. You should consider making an appointment with a plastic surgeon if, in cases of polythelia, you notice:

• Persistent discomfort or irritation in the area of the extra nipples
• Presence of an additional growth that is visible or palpable
• Periodic irritation or inflammation in the polythelia area
• Increased unpleasant sensations during physical activity or from clothing friction
• Asymmetry or aesthetic concerns of the breast area causing discomfort
• Recurring worry about appearance affecting self-esteem
• Symptoms that worsen or recur over time
• Interference with normal daily activities or clothing choices
• No improvement with home care measures
• Appearance of polythelia after injury or hormonal changes
• Desire to receive a professional evaluation and recommendations for further steps
• Need to clarify the diagnosis when there is doubt or ambiguous manifestations

If you experience any of these signs, consulting a specialist can help identify the causes and evaluate options for correction. This is not only a matter of external comfort but also an important step toward improving overall well-being.

Emergency Conditions or When to See a Doctor Immediately

• Sudden severe increase in pain or swelling in the chest area
• Sharp redness of the skin accompanied by fever and intense itching or burning sensation
• Appearance of open wounds, pus discharge, or heavy bleeding around an abnormal growth
• Rapid worsening of symptoms accompanied by general weakness or elevated temperature
• Combination of severe pain and significant discomfort that interferes with normal breathing or movement

If you experience any of these symptoms, do not wait for a scheduled appointment—seek emergency medical attention immediately. Our clinic offers a home visit service, allowing a doctor to promptly assess your condition and take the necessary measures.

Causes and Risk Factors

Here we will discuss the possible causes of polythelia development and factors that may increase the likelihood of its occurrence or worsening. Understanding these aspects will help identify what points to discuss with your doctor and which examinations may be necessary.

Main Causes / Mechanisms (Briefly)

• Polythelia may be related to developmental features of tissues during the intrauterine period
• Often associated with hereditary predisposition and genetic factors
• Hormonal changes during puberty and pregnancy can influence manifestations
• Elevated hormone levels sometimes contribute to the formation of additional structures
• Injuries or inflammatory processes in the area of the mammary glands may worsen the condition

Risk Factors

• Hereditary tendency to anomalies in breast development
• Hormonal fluctuations, especially during adolescence and pregnancy
• Excess weight and obesity affecting hormonal balance
• Repeated injuries or mechanical irritation of the chest area
• Chronic inflammatory diseases of the skin or tissues in this zone
• Use of certain hormonal medications without medical supervision
• Age-related changes affecting tissue condition

Reversible Causes That Should Be Excluded

• Hormonal disorders that can be corrected after examination
• Inflammatory processes requiring treatment
• Skin reactions to injuries or irritants that can be eliminated

Polythelia is a condition with varying nature and influenced by multiple factors, so accurate assessment and choice of management require consultation with a specialist.

Diagnosis

The diagnosis of polytelia aims to identify the causes and assess the patient's condition in order to select the optimal plan. This process includes several stages that help thoroughly understand the situation and determine which examinations are necessary.

Diagnostic Approach

• Medical history taking: discussing complaints, the history of symptom appearance, and possible risk factors
• Visual and tactile examination of the affected area
• Assessment of comorbid conditions and symptoms that may influence the condition
• Ordering basic laboratory tests as indicated to exclude hormonal disorders
• Additional diagnostic methods if necessary, such as ultrasound or other imaging techniques
• Analysis of results and formulation of a plan for subsequent actions and monitoring

Typical Examinations as Indicated

• Ultrasound examination of the mammary glands and adjacent tissues
• Laboratory tests to assess hormonal status
• Clinical and biochemical blood tests if inflammatory processes are suspected
• Consultations with related specialists and additional instrumental methods as needed

What to Bring to Your Appointment

• Results of previous examinations and tests
• A list of medications and supplements currently taken
• A symptom diary or notes on manifestations
• Questions and observations you wish to discuss with the doctor

The diagnosis of polytelia requires a consistent and attentive approach by the physician to determine the causes and outline the most appropriate steps in treatment.

Treatment

Treatment of polythelia is aimed at reducing symptoms and improving quality of life, taking into account the individual characteristics of the patient. The therapy plan is developed based on the cause of the condition and the patient’s overall health.

Therapy Goals

• Reduce discomfort and visible signs of polythelia
• Address underlying causes influencing the development of the condition, as indicated
• Preserve or restore normal function of the breast area
• Prevent possible complications and inflammations

Main Treatment Approaches

• Primary methods: surgical correction when necessary and indicated
• May include non-drug methods aimed at improving the overall condition of the tissues
• Individualized approach based on age, medical history, and comorbidities
• Therapy may combine different methods depending on examination results

What the Doctor Does

• Assesses the condition and selects the optimal treatment plan individually
• Takes into account comorbidities and risk factors when choosing therapy
• Monitors possible side effects and adjusts treatment as needed
• Explains to the patient the criteria for evaluating therapy effectiveness and timing of follow-ups
• Coordinates cooperation with other specialists in a comprehensive approach

What to Expect: Plan and Monitoring

• Approximate assessment of changes and therapy effects through several stages
• Dynamic observation with plan adjustments depending on the body’s response
• Regular visits to assess condition and make corrections if necessary
• Support during recovery and adaptation to treatment

To develop an individual plan, schedule a consultation with Dr. Dmitry Valeryevich Shagan.

Prevention

Prevention is important for reducing the risk of complications and progression of polythelia. The prevention plan is selected individually, taking into account your condition and risk factors.

Main Primary Prevention Measures

• Monitoring hormone balance and timely examinations in case of changes
• Avoiding trauma and excessive mechanical irritation of the breast area
• Maintaining a healthy weight and lifestyle to normalize metabolism
• Quitting harmful habits that may affect the overall condition of the skin and tissues
• Regular medical check-ups if there is a hereditary predisposition

Screening and Secondary Prevention / Regular Monitoring

• As indicated — regular check-ups with a plastic surgeon or other specialists
• Monitoring the condition of the skin and tissues in the polythelia area
• Discussing with your doctor the need for additional examinations based on individual signs

Practical Recommendations

• Discuss with your doctor the adjustment of current medications if you have comorbidities
• Try to avoid strong friction and pressure on the breast area in daily life
• Monitor any changes and promptly inform your doctor about new symptoms
• Maintain physical activity within the specialist’s recommendations
• Keep notes about your condition and changes for more accurate discussion during appointments

Prevention in polythelia helps to control the condition and minimize possible unpleasant consequences.

Important to Know

The treatment of polytelia requires a comprehensive approach aimed at identifying the causes and selecting the most appropriate method of correction. It is important to understand that one should not focus solely on eliminating external manifestations — factors that may influence the development of the condition must also be taken into account. Early evaluation by a specialist helps prevent complications and determine the optimal treatment plan. Sometimes, ongoing monitoring and adjustment of therapy are needed depending on changes in the condition. At the same time, stress, workload, and comorbidities can affect the course of the process.

• A thorough assessment of the causes and factors provoking the condition is important, not just symptom relief
• Early consultation helps choose the treatment strategy and reduce the risk of condition progression
• Monitoring and adjustment of the treatment plan are possible as symptoms and the body’s response change
• Overall condition, lifestyle, stress, and comorbid diseases influence treatment effectiveness
• Self-treatment can complicate diagnosis and cause side effects, delaying proper care
• The doctor evaluates the entire range of factors and selects an appropriate therapy option individually

If you have any questions or need to clarify treatment details for polytelia, it is recommended to consult a specialist. Detailed information and answers to frequently asked questions can be found on our page with comprehensive information on the topic.

Self-Care Before the Appointment: What You Can and Cannot Do

Before seeing the doctor for polythelia, it is important to follow safety measures that will help maintain an accurate assessment of your condition and avoid worsening the situation. If your symptoms worsen at any time, immediately seek help from Dr. Dmitry Valeryevich Shagan.

What You Can Do Before the Appointment

• Write down when and how your symptoms appeared, and what worsens or relieves your condition
• Bring a list of all medications and supplements you are taking
• Reduce physical strain on the chest area, avoiding friction and pressure
• Keep a symptom diary, noting intensity and possible triggers
• Take your temperature if you feel feverish or unwell
• Maintain your usual drinking routine without overdoing it
• Gather any previous test results and imaging for the doctor
• Wear loose and comfortable clothing to minimize irritation

What You Should Not Do Before the Appointment

• Do not change or stop prescribed medications on your own without consulting a doctor
• Do not apply new ointments or products to the chest area without a specialist’s approval
• Do not attempt to remove or adjust extra formations by yourself
• Do not ignore the appearance of new or worsening symptoms
• Do not use unproven treatments that might mask symptoms
• Do not postpone visiting the doctor if you experience pain, redness, or swelling
• Do not change your hormone medication regimen without medical advice
• Do not neglect collecting information about your symptoms before the appointment

If you notice any signs of worsening, contact Dr. Dmitry Valeryevich Shagan immediately.

How I Can Help as a Doctor with the Treatment of Polytelia

During a consultation for the treatment of polytelia, I will help you understand the causes of your condition, assess the severity of symptoms and potential risks. We will discuss your current treatment plan and make adjustments if necessary. Together, we will develop a plan for examination and treatment, taking into account your individual health characteristics and the progression of changes. During the appointment, I will also provide recommendations regarding your routine and monitoring your condition.

In a consultation for treating polytelia, I can assist you with the following:

• Analyzing symptoms and the history of their onset to identify possible causes
• Assessing the severity of manifestations and potential health risks
• Reviewing current medications and evaluating tolerance to prescribed treatments
• Creating a plan for further steps: examinations, treatment, and monitoring effectiveness
• Considering comorbid conditions and concurrent medications when selecting therapy
• Providing recommendations on lifestyle and daily routines based on your current condition
• Explaining criteria for monitoring progress and determining when to seek follow-up care
• Conducting an initial assessment and differential diagnosis to determine causes
• Adjusting the treatment plan if effects are insufficient or if side effects appear

This comprehensive approach helps not only to manage current symptoms but also to reduce the risk of potential complications. If necessary, I coordinate care with other specialists to ensure thorough patient management.

What Questions Can You Ask Your Doctor When Treating Polythelia

During your appointment regarding the treatment of polythelia, you can discuss the following issues with Dr. Dmitry Valeryevich Shagan:

• Persistent discomfort or irritation in the area of the extra nipple
• Visible or palpable additional formations in the chest area
• Recurring symptoms that do not resolve without treatment
• Asymmetry and aesthetic concerns related to the breasts
• Lack of effect from previously prescribed treatments or home remedies
• Questions about therapy adjustment and possible side effects
• Consideration of comorbid conditions and their impact on treatment choice
• Preparation for surgery and expectations regarding the procedure

If you experience sudden severe pain, increasing redness, inflammation, or bleeding — seek urgent medical attention and do not wait for a scheduled appointment.

Questions You Can Discuss During the Consultation:

• What is going on with me, and what could this be?
• Why might manifestations of polythelia have appeared now?
• How can I be sure these changes are due to polythelia and not another condition?
• What examinations are necessary in my specific case to clarify the diagnosis?
• Which tests and studies are truly mandatory and which can be omitted?
• How should I prepare for the examinations and the doctor’s appointment?
• What treatment options are available, and how do they differ?
• Is it possible to manage the condition without surgery or other interventions?
• Why might the prescribed treatment not have worked, and what should I do in this situation?
• How long does treatment typically last, and how often should I have follow-ups?
• What signs indicate that my condition is improving or worsening?
• What steps should I take if my condition suddenly worsens or there is an exacerbation?

If your symptoms go beyond routine issues, such as severe pain, swelling, or bleeding, seek emergency care. During the consultation, the doctor will thoroughly review your case and help develop an appropriate treatment plan tailored to your individual needs.

How the Consultation Proceeds

A consultation is a careful review of your complaints, an assessment of your current condition, and a discussion of the plan for further actions. The scope of examinations is determined individually, based on indications, so a full set of tests is not always required immediately. During one appointment, the specialist conducts a preliminary assessment and outlines the next steps without making a final diagnosis.

1. Clarifying complaints and visit goals — when and how symptoms appeared, what concerns you, what affects your condition, and what you expect from the appointment
2. Collecting medical history and analyzing risk factors that may influence the development of the condition
3. Discussing previous treatments and examinations, analyzing obtained data; it is recommended to bring documents and a list of medications you are taking
4. Conducting an examination of the affected area, assessing external signs, and ordering relevant specialized tests as indicated
5. Preliminary conclusion — considering possible causes and ruling out dangerous conditions without providing an online diagnosis
6. Discussing the plan for necessary examinations, which may include ultrasound, laboratory tests, and other methods as indicated
7. Formulating an overall treatment and management plan based on individual characteristics and examination results
8. Discussing follow-up timelines, criteria for assessing progress, and recommendations for repeat visits

If this is your first consultation, particular attention is paid to collecting detailed information and identifying possible causes of symptoms. If previous treatment was ineffective, the consultation will help understand the reasons and adjust the approach.

This approach helps to effectively plan further actions and avoid unnecessary procedures, creating comfort and understanding at every stage.

Preparation for the Appointment

Preparing for an appointment with a plastic surgeon for the treatment of polythelia will help speed up diagnosis and the development of a treatment plan. Gather important information and necessary documents in advance to make the consultation as effective as possible.

• Bring a list of all current medications with names and dosages, if known
• Take with you the results of previous examinations, including ultrasounds, blood tests, and imaging
• Write down your main complaints: when symptoms began, and what worsens or relieves them
• Do not stop taking prescribed medications without consulting your doctor
• If recommended, come on an empty stomach — do not eat or drink for 8–12 hours (unless otherwise instructed)
• Avoid using cosmetics or creams on the chest area before the appointment
• Prepare any questions you want to discuss with the doctor during the consultation
• Wear comfortable clothing to facilitate the examination of the chest area
• If you have any doubts about preparation — clarify the details when making the appointment by phone

If you have special recommendations from other specialists, be sure to bring them with you. Proper preparation will help the doctor conduct a thorough evaluation and prescribe the appropriate treatment.

About the Doctor

Dmitry Valeryevich Shagan is a plastic surgeon specializing in the face, breast, and whole body with 20 years of experience. He works with patients who require treatment for polythelia, including initial consultations and cases where previous treatments have been ineffective.

In his practice, the doctor pays close attention to thoroughly analyzing complaints and dynamically monitoring the patient's condition. This approach helps to create a clear plan for examination and therapy.

During the consultation, you will receive a detailed analysis of your situation and recommendations for the next steps in treatment.

Why Patients Choose Dr. Dmitry Valeryevich Shagan

When treating polythelia, Dmitry Valeryevich focuses on accurate diagnostics and a thorough analysis of each patient's symptoms. The doctor develops a clear and transparent action plan that clearly outlines the stages of examinations, treatment, and follow-up visits. It is important that the consultation takes into account any comorbidities and medications already being taken, ensuring the safety of the therapy. Additionally, continuous monitoring of the patient's condition dynamics is demonstrated, along with adjustments to the treatment if standard methods do not produce the expected results. Patients are welcome to come with pre-existing examination results — the doctor always carefully analyzes them and uses this information to shape the treatment strategy. This approach helps reduce unnecessary procedures and concentrate on what is important specifically in your case.

• A clear treatment plan with definite stages and timelines for evaluating results
• Examinations prescribed only as needed, avoiding unnecessary procedures and expenses
• Consideration of comorbidities and medications for therapy safety
• Monitoring of changes and treatment adjustments if the desired effect is not achieved
• Review of already completed examinations to develop the most suitable approach
• Explanation of goals, alternatives, and risks in simple and understandable language
• Emphasis on preventing complications and exacerbations during long-term follow-up
• Experience managing complex and recurring cases within plastic surgery

This structured and attentive approach allows Dmitry Valeryevich to effectively handle a variety of situations, from initial consultations to complex cases requiring ongoing supervision. It provides patients with an understanding of what is happening and confidence in the consistency of subsequent steps.

Case Studies

Initial Consultation with Pronounced Discomfort

A middle-aged patient presented with complaints of an accessory nipple causing irritation and aesthetic concerns. It was important to rule out inflammatory processes and assess associated tissue changes. A comprehensive diagnostic workup was performed, including examination and additional tests as indicated. As a result, the nature of the changes was clarified and a correction plan was proposed. At the follow-up visit, a reduction in symptoms and overall improvement in quality of life were noted. Dynamic monitoring was prescribed to maintain the results.

Therapy Adjustment in the Absence of Effect

A young woman came with recurring symptoms despite previously prescribed treatment. Special attention was paid to reviewing previous recommendations and the possible tolerance of the prescribed methods. The physician revised the approach by adding new treatment elements and organized additional examinations. Over the following weeks, a decrease in symptom intensity and stabilization of the condition were observed. The further plan included regular monitoring and therapy adjustment as needed.

Chronic Course with Comorbidities

An elderly female patient presented with a long-standing presence of polythelia against the background of comorbid chronic diseases. Evaluation of risks during combined therapy and consideration of mutual disease interactions were important. The patient underwent a comprehensive examination, after which a balanced treatment plan was developed, taking into account her overall condition. During follow-up, stable progress and improved well-being were observed when recommendations were followed. Particular attention was given to the prevention of potential complications.

Exacerbation and Its Management

A middle-aged female patient presented with worsening symptoms and inflammation in the area of the accessory nipple. It was necessary to promptly exclude infectious and other urgent conditions. The physician conducted an examination and ordered emergency investigations as indicated, after which treatment was adjusted and care recommendations were provided. Shortly thereafter, a reduction in symptom severity and stabilization of the process were noted. The monitoring plan included measures to prevent recurrent exacerbations and regular consultations.

Second Opinion and Complex Case Review

A male patient came for clarification of the diagnosis and assessment of prior treatment. The physician conducted a thorough analysis of the medical history and examination results, identifying key points requiring additional attention. An alternative diagnostic and management plan was developed. At follow-up, a positive response to the implemented changes was noted. This approach helped the patient gain a more complete understanding and select an optimal strategy. Further management is ongoing, taking into account new data and condition dynamics.

How long does the consultation last?

On average, a consultation takes 30–60 minutes; please confirm the exact time when booking.

How should I prepare for the appointment?

Write down your main complaints, symptoms, and questions you want to discuss with the doctor.

What should I bring to the consultation?

Bring results of previous examinations, images, medical reports, and a list of medications you are taking.

Do I need to come on an empty stomach?

Usually no, unless otherwise specified when booking.

How many visits are usually required for treatment?

The number of visits depends on the complexity of the case and the chosen approach, usually several meetings.

When can I expect the first treatment results?

The timelines are individual and depend on the nature and methods of therapy.

What should I do if my condition worsens before the appointment?

If symptoms increase or you experience pain, redness, or swelling, seek urgent medical help.

Is it safe to combine the treatment with my current medications?

This will be discussed during the appointment; do not change or stop medications on your own.

Is it possible to have an online consultation?

Yes, online consultation is possible if all necessary data are available and by agreement.

Can I come with already completed examinations?

Yes, bring all examination results for assessment and treatment planning.

Do I need to come for follow-up visits, and how often?

The schedule of follow-up visits is determined individually to monitor progress and adjust treatment.

Can I get a second opinion from this doctor?

Yes, the doctor will review your case and provide an independent assessment.

What should I do if symptoms return after improvement?

Contact the doctor for an additional consultation and therapy adjustment.

How quickly are examinations scheduled?

Examinations are prescribed based on indications and individually, immediately after the initial assessment.

Can I change the treatment on my own?

We do not recommend changing treatment without consulting the doctor, as it may affect the outcome.

What risks and side effects are possible during treatment?

These depend on the chosen methods and will be thoroughly discussed during the consultation.

What if the treatment is not helping?

During the appointment, we will analyze the reasons, possibly adjust the plan, and arrange additional examinations.

Can I seek help for chronic or recurring conditions?

Yes, the doctor manages patients with various durations and complexities of conditions.