Is There Any Way to Correct my Grade 3 Inverted Nipples While Possibly Maintaining the Ability to Breastfeed and my Sensitivity?

Judging by your photos, you may experience difficulty breastfeeding, but it's not impossible if you get support. Surgery can be performed to correct the inversion, with minimal risk to your ability to breastfeed. During the surgery, incisions will be made in the nipple area to gently spread spread tissue fibres so that the nipple can be released. Sutures are placed to maintain this, and  a stent may also be used to support the nipple as you recover.

Thank you for the question.

Inverted nipples can cause functional problems for women and emotional concerns. 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. Whether a patient is a candidate for correction of inverted nipples  depends on the  extent of the problem.

Usually correction of the inverted nipples involve division  of the lactiferous (milk ducts). The risks  of the procedure include potential loss of sensation, inability to breast-feed, recurrence of the asymmetry and the potential need for further surgery.

My advice to patients go something like this...  If the nipple is permanently inverted and does not evert  with stimulation, then it is a useless nipple  when it comes to sensitivity and/or breast-feeding. In these  cases correction of inversion is indicated (because the potential gains outweigh the risks outlined above).  On the other hand, if the nipple does evert  spontaneously with  or without stimulation,  then I am more reluctant to perform the procedure given that the risks may outweigh the potential benefits.  At that point, the decision is the patient's to make after careful consideration.

I hope this helps.