Inverted nipples and breast augmentation

Inverted nipples can cause functional and body image problems for women. An inverted nipple can look flat or a slit like depression or hole at the normal nipple location. There are different degrees of inverted nipples possible.  Usually correction of the inverted nipples involve division  of the lactiferous (milk ducts). Risks of the procedure include potential loss of sensation, inability to breast-feed, recurrence of the inversion and the potential need for further surgery. The procedure can be performed at the time of breast augmentation surgery only. Sometimes, breast augmentation surgery alone will suffice (without the need for additional maneuvers to evert the nipples).  
 In my practice, if a patient's inverted nipple everts spontaneously or with manipulation, I generally do not advise surgical correction at the time of breast augmentation surgery; these patients often experience the eversion of the nipples with breast augmentation surgery alone. On the other, if a patient's nipples are permanently inverted, regardless of temperature change or stimulation, then I will correct the inversion at the time of breast augmentation surgery.  This decision-making (and advice) boils down to careful consideration of pros/cons  and possible risks/complications.
 
 My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with.   Your plastic surgeon, based on your history and physical examination, will be your best resource for accurate assessment and advice.
 Best wishes.

Great question !  I have had patients with grade 1 inverted nipples which were corrected simply by putting in breast implants.  I would recommend that you have the breast augmentation alone, and see whether the nipples correct.  If they don’t, you can have them corrected with a simple procedure under local anaesthesia that leaves virtually no scar.