Is There a Treatment for Inverted Nipples?

What is the procedure was to correct inverted nipples? Is it a difficult or painful procedure?

Doctor Answers 34

Nipple Inversion Correction

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Surgical correction of inverted nipples should only be attempted when you are sure that you do not plan to breast feed any longer. The most common cause is a tethering of the ducts that attach your nipple inside to your breast tissue. The treatment involves dividing these through a small incision and then allowing healing with bolsters in your skin that keep your nipples everted. I try to keep my patients in the bolsters for 2-3 weeks. There is a risk of reoccurence and possibly decreased sensitivity but thankfully these are not common.

Inverted nipples

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Thank you for your question. It sounds like you could benefit from Nipple Repair Surgery.

 Many women have nipples that are inverted intermittently or constantly. It is often a source of concern and self consciousness.

Inverted nipples are caused by tight and shortened breast duct tissue. The inverted nipples can be corrected surgically by the release of the foreshortened ducts, in many cases with minimally invasive technique. Correction of nipple inversion may be performed as an isolated procedure or in combination with other breast surgeries. 

Dhaval M. Patel 
Double board certified
Plastic surgeon
Hoffman Estates

Dhaval M. Patel, MD
Hoffman Estates Plastic Surgeon
4.8 out of 5 stars 100 reviews

Inverted nipple repair

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There is a procedure to correct inverted nipples.  It is a fairly simple procedure, in experienced hands, performed under local anesthesia in the office.  It is not painful during the procedure because it is numb from the local anesthetic.  After the procedure the discomfort in mild and easily managed with oral medications. I preserve most of the milk ducts when doing the procedure, however there is still a risk that you may not be able to breast fed after the procedure.  Hope this helps and best of luck.

Inverted nipple correction, and breastfeeding

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The technique based on a small incision,undercut of the ducts and a two cross absorbable stitches.There is no pain,and the recovery period is 10 days.Keep in mind that the majority of the women are unable to breastfeed so make your decision in time in terms if you wish to breastfeed your baby or no.In the first case postpone the surgery after you make your family.

Nodas Kapositas, MD, PhD
Greece Plastic Surgeon

Fixing inverted nipples is an easy office procedure

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I usually make a small incision at the base of the nipple to release the fibers and ducts and allow the nipple to come out, then keep it out while it heals with a stitch that is taped to your breast skin for several days. The incision in closed with a couple tiny sutures and the scar is virtually invisible. The procedure takes about 10 minutes with a little local anesthesia. Although there is a risk of numbness and breast feeding impairment, I haven't seen this.

Easy treatment for inverted nipples

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Inverted nipples are cause by shortening of the breast ducts that attache the nipple to the milk producing glands. If these ducts shorten, then the nipples inverts. Treatment involves cutting these ducts through a small puncture wound under local anesthesia. Next the nipple is put into a normal position and sutured.

Robert M. Freund, MD
New York Plastic Surgeon
4.8 out of 5 stars 34 reviews

Surgical correction for inverted nipples

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The procedure to correct the inverted nipples in many cases can be done under local anesthesia, unless the patient is interested to combine the procedure with breast augmentation or breast lift and that requires a general anesthesia. Done under local anesthetic is almost pain free and allows patient immediately to go back to daily activities. The procedure itself is not very complicated, but requires the experience of the board certified plastic surgeon. It is important to follow always your surgeon instruction how to take care of the incision site.

Inverted Nipple

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The up side to this is that it can be corrected and it can be done in conjunction to other surgeries like breast augmentation and breast lift. It can also be done by itself in the office under local anesthesia. The procedure is not painful and works pretty well. One thing I would say is that you are certain and complete with any breast feeding now and in the future because the surgery does have the risk of cutting the ducts and you may and likely will not be able to breast feed, if you were able to in the past. I generally place internal bolsters after cutting the scar and tissue causing the retraction, so that there is nothing visible and nothing that will need to be removed aiding in the comfort of the procedure.

Make sure you have a board certified plastic surgeon review your options with you.

Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 88 reviews

Nipple Inversion: Inverted Nipple Correction on one side or both

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Inverted nipples can form with varying severity and can be symmetric or assymetric. In most cases, it is due to a tight fibrous band below the nipple.

There are many simple methods of releasing the fibrous band with blunt dissection using one or two small, 0.5 cm incisions at the base of the nipple. Usually this will also require a suture to correct the inversion permanently.

Make sure you discuss this with a board certified plastic surgeon who has experience in this technique and who understands the specific nerve supply to the nipple and the best ways to prevent damage to the sensory nerves.

Many patients have the condition and our experience has been very fruitful for our patients.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Correction for Inverted Nipples in the office

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Thanks for your question. Roughly 1 in 10 women have some type of "inverted nipple".  It is quite common.  Sometimes patients have a "shy nipple" that lacks projection and can look "inverted" at certain times. Sometimes it is both sides and other times it is only one side. I routinely perform this procedure many times each month in my office. This is done with only local anesthesia and it take 30 minutes or less typically.  Patients do not have to have sutures removed and do not require pain medication. Patients rarely have much of any discomfort and are able resume normal activities right away except for exercise or heavy lifting. I hope that helps. Good luck!

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.