Is There a Treatment for Inverted Nipples?
Doctor Answers 31
Nipple Inversion Correction
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 nipple repair
Inverted nipple correction, and breastfeeding
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Fixing inverted nipples is an easy office procedure
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.
Surgical correction for inverted nipples
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.
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.
Nipple Inversion: Inverted Nipple Correction on one side or both
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.