Can Flat Nipples That Were Once Inverted Be Corrected with Surgery?

Dear Galore in Jeffersonville, IN:

The projection of the nipple depends on two things where it is and how big it is.

Most commonly an inverted nipple is a normal nipple that is tethered to the deeper structures. This tethering pulls the nipple back into the breast. So this otherwise normally shaped nipple lacks projection because it is in the wrong location, i.e., pulled down into the breast.

A nipple can also lack projection because it is small or flat. This can occur with out without the nipple being inverted. When it occurs without nipple inversion it is easy to tell; however, nipple inversion can sometimes hide the fact that the nipple is also flat. It only becomes apparent after the tethering is released, and at that point the surprise of having a flat nipple can lead to disappointment.

A non-functional nipple can be reconstructed. This is a completely different operation from inverted nipple repair. Inverted nipple repair is performed for a normal nipple which is hidden in the breast. Nipple reconstruction is done when there is an abscence of a nipple. Most commontly this is done for breast reconstruction after a mastectomy where the nipple has been removed. If nipple reconstruction is done on a normal breast, it is unlikely that you would be able to breast feed. The procedure involves repositioning the skin on the breast to form a projection. I involves additional scarring and the reconstructed nipple may flatten again over time. Several techniques of nipple augmentation also exist, but these need to be discussed indetail on a case-by-case basis.

A link is provided with more information:

Flat nipples that were once inverted can typically be corrected with surgery that will help create scar tissue between the inside walls of the nipple when it is erect. Unfortunately the nipple typically does not become flat after the surgery but instead always stays erect.

Flat nipples that used to be inverted, can probably be corrected further. Usually, inverted nipples can be corrected to erect nipples although some mechanical method to keep them from retracting is usually necessary. You will need to be examined to know for sure but there is a good chance your nipples can be improved.

"Flat nipples" can be corrected with several techniques. One option that is relatively easy in terms of recovery is the use of injectable fillers. Short and long acting fillerrs can be used to increase volume of the nipple and increase projection.  This works reasonably well in most people. Longer lasting solutions can be fat grafting, dermal grafting, or placement of silicone nipple implants. You should be seen by a board certified plastic surgeon in order to find out which is the best option in you.

Depending on the type of surgery you had done, it may be possible to release more of the tethering ducts and increase the protrusion of your nipples.  If the ducts have been fully released, you might just naturally have flatter nipples.  (Over time, even a second surgery to release ducts may result in gradual flattening of the nipples)  Grafts and fillers are sometimes used to increase projection (more often in nipple reconstruction following removal or significant deformity of the natural nipple).    Blood supply to your nipple needs to be considered, since you have already had one procedure.   Be sure to discuss this with a qualified plastic surgeon who examines you and discusses the risks/benefits of additional treatment.