Breasts are an important part of the body for most women and any change or imperfection in them is rather disappointing for them. Breast surgery is a vast domain that can cover a wide range of breast problems. Apart from size, symmetry, and sagging, one of the things that women pay close attention to is how their nipples look. Naturally, the nipple must be slightly bumpy and the areola must be perfectly round and without inversion. In some women, things like breast feeding or diseases will cause inverted nipple which causes issues for breast feeding and also in terms of appearance. Inverted nipple correction surgery tackles this problem.

Is inverted nipple a serious issue?

This issue can be seen in both men and women. Some are born with this condition in others it can be symptom of a serious disease. If you did not have this condition beforeو it is better to consult with a doctor. In general, the most important issue caused by inverted nipple in women, apart from appearance, is problems with breast feeding. The lack of a nipple will result in the infant not being able to feed properly and although there are special instruments or temporary solutions, they can cause major problems for the mother and the child.

To solve this, depending on the intensity, there is a wide range of treatments available, including manual stimulation of the breast or surgery.

What are the typical characteristics of cases exhibiting inverted nipple?

This condition occurs when breast ducts, that is, channels which bring milk from mammary glands to the nipple, are short. This shortness in channels will cause the nipple to be sucked inwards. This problem can be seen during pregnancy in addition to breast feeding periods.

In some cases, inverted nipple is a sign of ailment in the breast. For instance, if this condition is seen in women over 50 years old, it is vital to perform tests for breast cancer.

It is also common for certain kinds of acne or eczema to cause inverted nipple. This is due to the fact that most of the time fat and pus accumulate in the nipple. Existence of acne that hurts and is accompanied with pus discharge and fever is a sign of a certain infection known as subareolar abscess. This infection is seen in women that do not breast feed.

Inverted nipple can also be seen in the following cases which require medical attention:

If you notice white, green, or black pus discharging from the nipple seek medical assistance immediately.

Swelling, redness, or thickening of the areola can be sings of mammary duct ectasia. This condition is dangerous and should be treated immediately. Women who are in their menopause are more at risk.

In certain cases, inverted nipple is seen in women who have attached rings to their nipples recently. Performing this surgery in a place with low hygiene and in the wrong way will increase the risk of infection with subareolar abscess. Inverted nipple correction surgery is recommended in some of the cases mentioned above.

Inverted nipple correction surgery: how serious is your case?

Inverted nipple correction surgery is not necessary in all cases. Before deciding to undergo surgery, first the ‘grade’ of inversion must be determined. In general, inverted nipple is categorized into three categories:

To determine the grade of your nipples’ inversion, stand topless in front of a mirror. Remember that for a safe diagnosis, it is better to examine both breasts. Sometimes it is possible that one of the nipples is inverted while the other is perfectly fine. With your thumb and index finger, try to touch and hold the nipple in the areola. Squeeze the back of the nipple inward. After gently squeezing the nipple inward, the following signs determine the grade of inversion and the right course of action to treat it:

Inversion grade 1:

By squeezing the areola, the nipple easily bumps out. Now release the nipple. In grade 1 inversion, the nipple holds its form and does not instantly return inwards. This case does not cause any problems for breast feeding and the nipple can be easily pushed out by hand. Although some women may have problems with how it looks, it, in fact, is not problematic in terms of swelling tissue or mammary duct ectasia. This case does not necessitate inverted nipple correction surgery.

Inversion degree 2:

In this case, the nipple is pulled but with effort and after releasing quickly retracts. This can cause problems for breast feeding. Chances of swelling tissue and mammary duct ectasia increased.

Inversion grade 3:

In this case, the nipple is pulled but no change is seen in how it looks. The nipple will not come out and remains inverted. This is the most serious grade of nipple inversion which requires medical intervention. There is risk of swelling in tissue and obstruction of mammary ducts and also breast feeding is impossible. The patient may experience itching and infection as well. For this case, inverted nipple correction surgery is recommended.

How common is inverted nipple in women and from what age it is seen?

Roughly, 10 to 20 percent of women have inverted nipple from birth, but this is a normal condition and will not cause any problems for the individual. If the person wishes to correct the inverted nipple and make it point out, there are medical solutions for it and they can help improve the aesthetics of the breasts:

Inverted nipple correction treatment:

Treating the inverted nipple depends on its grade and not every inverted nipple needs surgery. After determining the grade of the inverted nipple, the following steps are taken:

Treating grade 1 inversion is very simple. The nipple is brought out by hand and gradually the issue is solved. Wash your hands with warm water and caress the nipple for a few minutes. Repeat this several times. In long term, the appearance of the nipple will become normal.

Grade 2 inversion affects the mother’s ability to breast feed in addition to how it looks. Fortunately, there is no need for surgery in this case and the issue can be solved using supporting devices. Mothers that breast feed can use certain funnels for milking that are placed on the nipple and pulls out the nipple to facilitate breast feeding. Use of syringes and milking devices can help with breast feeding as well. It is not recommended to use these methods for more than 6 weeks.

The only solution for inverted nipple grade 3 is surgery. This surgery can be done in different ways which are explained below. Surgery frees the supporting tissues, milk ducts. And the nipple,

Considerations before deciding to undergo inverted nipple correction surgery:

Women with severe nipple inversion can undergo surgery. In any case, before undergoing surgery, you should know that surgery means permanent inability to breast feed. This is because milk ducts are cut so that the nipple gets free. In a few cases, even after the surgery, breast feeding remained possible.

Are the surgical scares noticeable?

Each type surgery of uses a specific kind of cut. Surgical cuts are made in the nipple base. These cuts cover half of the nipple’s circumference. However, fortunately, the scares will be covered up by any form of clothing and are not noticeable. The scares will gradually fade, and you won’t be able to see them.

Inverted nipple correction surgery consultation session:

During the initial consultation, we will examine your demands and expectations together, answer your questions, and provide you with information regarding the surgery.

The surgery can be done with local anesthesia or general anesthesia. If you are interested in this surgery, one of our nurses is always ready to answer your questions.

Inverted nipple correction surgery:

There are different surgical methods for inverted nipple correction surgery. If you are looking for a permanent solution, surgery is the only option. There are two different surgical procedures: One method preserves the milk ducts and the other cuts them off.

Surgery with partial preservation of milk ducts:

This method uses parachute flap technique. In this method, the woman will retain the ability to breast feed since some of the milk ducts remain attached. There should be no change in how the nipple feels in this method. For operation using this method, first the area is numbed. Surgeon makes an incision around the base of the nipple.

While still attached, the nipple and areola are picked up from the breast and sutured pointing out. Then, the surgeon sutures the surgical area and covers it with bandage.

Surgery with detached milk ducts:

This is the most common method. If a woman undergoes this surgery, she will never be able to breast feed because the milk ducts will be completely cut off so that the breast tissue is released. In this method, a cut is made in the base of the nipple. Milk ducts are cut to release the nipple. Then, the surgical area is sutured and is bandaged.

Both surgical procedures last roughly one hour and after several hours, the patient can return home.

In the consultation session, the necessary information about different methods and relevant recommendations are given to you and you can decide with the surgeon together which method is more appropriate for you. This is a simple procedure and the patient can go back home the same day.

Convalescence period after nipple correction surgery:

The surgical procedure for inverted nipple is relatively a simple one. After the surgery, there will be pain in the nipples for a week, but it can be controlled with medicine. Take your medication on the prescribed time and complete the prescription.
Bruising is normal for 2 weeks after the surgery and will get better gradually.

Swelling is a normal condition in most surgeries. You might notice your nipples over-protruding during the first days after surgery. But do not worry. This is completely natural and with the swelling going down, the nipples will take their natural form after two weeks.

After 3 to 5 days, you may return to your job and daily routines.

You need to wait 2 weeks in order to do light exercises and it is better to leave intense training for one month after the surgery.
There have been cases of reduced sensitivity in the nipple and the area around it. Each person has a unique body and the treatment process is different for everyone. Inverted nipple correction surgery is permanent in most cases. However, the nipple might begin to retract again and require another surgery.

Breast surgeries are numerous and some of them are solely for aesthetic purposes and the others are medical. Surgeries to change breast size (increase or decrease), changing breast implants, lift, and male breast reduction are among the treatments offered at our beauty clinic.

You can book a consultation session with our professionals online. You can also call us at 040 – 65 66 660.

We look forward to seeing you at Estetikcentrum.

This article is intended to promote understanding of and knowledge about professional plastic surgeries. It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your surgeon or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.