Inverted Nipple
Nipples vary in size and shape among women, however, in some women, the nipple is inverted, i.e. pulled inwards or tucked into the breast, instead of sticking out. Although common, inverted nipples are rarely discussed, as this condition is often a source of embarrassment and gives a feeling of self-consciousness to the owner. Inverted nipples are often inverted to the same degree in both breasts. The condition is not that uncommon affecting about 2% to 10% of women. The average breast features a nipple at the centre of the areola that is well-defined from the rest of the breast. In certain situations, such as when aroused or cold, the nipples can become even more prominent, taking on a rounder shape.
Synonyms - Retracted Nipples
Candidacy
- Nipples that are very difficult or impossible to pull out
- Nipples that do not stay out
- Failure of conservative options
- Flattened nipples
Nipple Inversion May Be Because..
- Intermittent, in which case they are inwards but do protrude out on temperature changes, massage or stimulation.
- True nipple inversion, which is present since birth
- Nipple inversion following infection, injury or breastfeeding
- Nipple inversion as an early sign of breast cancer
Procedure
Treatment for inverted nipples depends on the severity. For instance, grade 1 nipples may be extracted using a plastic cup called a “nipple eversion device” that pulls the nipples outwards. These devices are available in baby stores in their breastfeeding section. The majority of inverted nipples, however, are treated surgically. There are a variety of surgical techniques available, and the best one depends on your situation. The surgical procedure includes the following aims:
- Release of shortened ligament structures
- Creation of scaffolding to keep the nipple protruded
- Anaesthesia: The patient can opt for local anaesthesia, intravenous sedation and local anaesthesia, or general anaesthesia.
- Duration of the procedure: The procedure takes 30-40 min
Grades of Inverted Nipples
- Nipples come out occasionally without manipulation
- Nipples require manipulation to evert them
- Nipples do not come out at all
Inpatient/Outpatient Procedure
It is an outpatient procedure, that is, the patient can go home the same day.
- Back to work: 1-2 days
- Return to exercise: 3 days (light exercise/work)
- Strenuous activity/exercise: The client after two weeks normally experiences mild to moderate swelling which peaks two or three days after the procedure, then disappears rapidly over the following three weeks.
Permanent
Schedule a Consultation
To schedule a private consultation please call us or request an appointment with Dr. Sandeep Sharma and one of our assistants will be happy to help you.