Are my breast inverted or underdeveloped? (photos)

Question

I am 18 and all my other friends have at least something sticking out a little. It seems as if I don't have nipples at all. Am I underdeveloped or inverted? What can I do to make them normal?

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photo.  Your nipple appears to be only slightly inverted, which I do not think should be corrected surgically at only 18 years of age.  If you are planning on having children and breast feeding, I would wait until you are not longer planning on doing so before undergoing a surgical correction of your nipple.All the best,Dr. ResultsMiami, FL

Jeffrey G. Lind II, MD · Answer

Thanks for your question.  Your nipple does appear to be slightly inverted.  This can be surgically corrected.  However, if you have any desire to have children and to breast feed in the future having nipple surgery can decrease your chances of being able to successfully breast feed.  If you were a patient in my practice I would encourage you to wait on surgery.  Best of luck to you!

Michael A. Epstein, MD, FACS · Answer

Thank you for your question.Based on the picture, your nipple appears to be at least partially inverted.  It's actually a fairly common problem, and not one that's talked about often.  Does the nipple appear that way all the time, or are you able to "pop it out"?  These are the questions your board certified plastic surgeon will ask you.  There is a simple correction if your surgeon feels it's likely to improve your appearance.There is always a discussion regarding ability to breast feed.  Based on your nipple development and position, you may not be able to breast feed anyway.  Alternatively, you may be able to breast feed now but may not after inverted nipple correction surgery.  It's best to decide how important your appearance is to you vs. the importance of breast feeding any potential future children, and decide on the timing of surgery accordingly.  Best of luck!

Vaishali B. Doolabh, MD, FACS · Answer

Hi aathas.  Thank you for sharing your photos.  The nipple mound appears flattened. Fillers will provide only temporary changes.  A local rearranging of tissues can be done easily under local anesthesia, little downtime, absorbable sutures, etc..  There are different techniques necessary depending upon whether the nipple mound ever becomes erect (i.e. is it tethered constantly), so be sure to have an in-person consultation by an ABPS certified plastic surgeon.  Good luck!

Robert M. Tornambe, MD · Answer

Fear not! It appears that you have inverted nipples, which means that during maturation they have not delivered completely. This condition is easily fixable in the office, under local anesthesia. Be sure to consult with a board certified plastic surgeon. Good luck!

Larry S. Nichter, MD, MS, FACS · Answer

An exam is needed in addition to your photos with some more history - eg. do they become more erect with stimulation, temperature change, etc. A Nipplette device may nonsurgically improve the projection and can be purchased on the web. Far more important
than worrying about a procedure that might or might not help you is the skill and
experience of your plastic surgeon to guide you in whether any surgery is even needed. Choose your surgeon rather than the
technique and let them explain why one technique may be better than another as per your individual case but in your particular case I would just get some more information and suspect that no surgery is indicated at this time.

See the below link
on some suggestions on finding the most qualified Plastic Surgeon for a consultation on possible inverted nipples.

#breastaugmentation#BA#Nippleplasticsurgeon#InvertedNipple

Nelson Castillo, MD · Answer

Thank you for your question and for sharing your photograph.  Breast size exists along a very wide spectrum, and the limited view of your breast shows it to be well within this range.  You may have some nipple inversion which can be corrected fairly easily, and if you would like to increase your overall breast size, you can have implants placed at the same time.  See an ASPS board certified plastic surgeon for an in-person evaluation and assessment.

Farah Naz Khan, MD · Answer

Hard to tell from this photo but you may have little breast tissue or be underdeveloped. If this really bothers you, best to see a board certified plastic surgeon who can properly examine you and recommend the best treatments for you!

Michael M. Omidi, MD, FACS · Answer

Thank you for the question and photos. You do appear to have a slightly inverted nipple.  You breast could still continue to change up until 19 years of age and pregnancy could also possibly correct that.  You're still young, best to wait for a couple of years before considering surgical revision.  Best of luck.
Dr. Michael Omidi.

An
in-person exam with a board-certified plastic surgeon is the best way to assess
your needs and provide true medical advice.

Jourdan Gottlieb, MD · Answer

This does appear to be "slightlyl" inverted. I would expect that you could manually uninvert the nipple. There are surgical procedures to correct this, but I would strongly advise against considering them until you have completed childbrearing.  The reliable method of correction divides the shortened breast ducts, and makes the ability to nurse extremely unlikely.jAll the best.

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