Inverted Nipple Correction

what are inverted nipples ...

Inverted nipples can affect both women and men. This condition varies in presentation, from nipples that occasionally invert to more persistent cases where the nipple remains retracted. While generally not harmful, some individuals may experience functional or aesthetic concerns related to inverted nipples.

Inverted nipples occur when the nipple retracts into the breast tissue rather than protruding outward. This can affect one or both sides and may be present from birth or develop later in life. The degree of inversion varies and is often categorised into three grades:

Grade 1: Mild inversion where the nipple can be pulled outward (without force) and may stay in that position temporarily. Surgery may not be required unless there are specific concerns.

Grade 2: Moderate inversion where the nipple can be drawn out but tends to retract again. This may be associated with some tightness or sensitivity.

Grade 3: Severe inversion where the nipple remains retracted and cannot be drawn outward. This form may occasionally impact hygiene or breastfeeding.

why do inverted nipples occur ...

Inverted nipples may result from a range of anatomical or acquired factors. Identifying the potential cause is an important part of planning an appropriate management approach. Inverted nipples don’t always require surgery. However, in some cases, individuals choose to explore procedures to address physical challenges or personal preferences. You may wish to speak with a qualified health professional about available options if:

Congenital Development

Some individuals are born with inverted nipples due to short milk ducts or tight fibrous tissue that pulls the nipple inward. This form of inversion is often identified during adolescence and may affect one or both sides.

Breastfeeding Is Affected

Some individuals experience difficulty with breastfeeding due to nipple inversion, particularly in more pronounced cases. A procedure may assist with increasing nipple projection, which can help facilitate latching.

Recurrent Discomfort or Irritation

Inversion can sometimes contribute to concerns like trapped moisture or ongoing irritation. This may be due to hygiene-related issues or skin sensitivity. Treatment may be considered to support comfort in these situations.

Medical Conditions

In rare cases, sudden nipple inversion later in life may be associated with an underlying health issue, including infections, inflammation, or, less commonly, breast cancer. A medical assessment is recommended to exclude these possibilities if new or unexpected changes occur.

Personal Preference Regarding Appearance

Some people choose to explore treatment based on how their nipples appear. This is a personal decision and may form part of a broader discussion about available procedures with a Specialist Plastic Surgeon.

What is Inverted Nipple Correction ...

Patients typically consider surgical procedures for inverted nipples when the condition contributes to functional concerns or personal preferences around appearance. In cases where inversion is more pronounced, sweat or skin debris can become trapped, potentially leading to irritation or recurrent inflammation. Some individuals explore treatment based on how their nipples appear, particularly if they would prefer a more outward projection. Others may be seeking information and guidance about available procedures. Our surgeons offer individual consultations in a supportive setting, where patients can discuss their concerns, explore potential options, and gain a clear understanding of what to expect based on their personal circumstances.

am I a suitable candidate ...

Inverted nipple surgery is a personalised procedure that may be considered for individuals experiencing persistent nipple inversion that interferes with comfort, hygiene, or day-to-day activities. Suitability for surgery is based on a range of factors, including overall health, the degree of inversion, and individual circumstances. A thorough consultation helps determine whether this approach is appropriate. The following points outline general considerations that may indicate suitability for this type of procedure.

  • Has persistent nipple inversion that does not respond to manual eversion.
  • Experiences recurring irritation, inflammation, or hygiene-related concerns.
  • Has previously completed breastfeeding or does not plan to breastfeed in the future.
  • Is in good general health with no unmanaged medical conditions.
  • Is not currently pregnant or breastfeeding.
  • Is a non-smoker or willing to cease smoking before and after surgery.
  • Has realistic expectations and a clear understanding of potential outcomes and limitations
  • Has undergone an appropriate assessment to rule out underlying medical causes of inversion.

This procedure is generally performed as day surgery at an accredited Melbourne hospital. Patients return home the same day and are provided with clear aftercare guidance to support recovery.

Surgical treatment for inverted nipples involves releasing the internal structures that contribute to the inversion and supporting the nipple in a more projected position.

In cases of mild to moderate inversion, an incision is made at the base of the nipple to release tethering bands. Internal sutures are then used to provide support. For more complex presentations, additional techniques may be used to reinforce the area with dermal tissue or layered structural support.

The choice of anaesthesia depends on the degree of inversion and the patient’s comfort:

  • Local Anaesthesia: For less severe cases, the procedure can be done under local anaesthesia in a hospital setting. This option reduces recovery time and eliminates the need for general anaesthesia.
  • General Anaesthesia: Used for more complex cases or when performed alongside other procedures.

Yes, you will require a GP referral. As of 1 July 2023, AHPRA (Australian Health Practitioner Regulation Agency) requires all patients to obtain a referral from a GP (General Practitioner).

Following the procedure, a supportive dressing is applied to help maintain the nipple’s position and protect the incision site. Special padding may be used to prevent direct pressure on the area during the initial healing phase.

Patients can expect to experience some swelling and bruising, which usually subsides within 7 to 10 days. Any discomfort can typically be managed with over-the-counter pain relief as advised by your surgeon.

Most patients can resume light, non-strenuous activities within a few days after surgery. However, it is important to avoid heavy lifting, strenuous exercise, and activities that might place tension on the chest for several weeks to support proper healing.

Your surgeon will personally monitor your progress through scheduled follow-up appointments to make sure the surgical site is healing as expected and to address any questions or concerns. Adjustments to your aftercare plan will be made if needed.

Over the following weeks, the nipple shape will continue to settle as internal support structures adapt and tissue healing progresses. Maintaining good wound care and following post-operative instructions will support optimal results.

As with any surgical procedure, Inverted Nipple Correction involves potential risks. During your consultation, your surgeon will discuss possible risks and complications as part of the informed consent process. Visit our Risks and Complications page for more information. Risks and complications can include, but are not limited to:

  • Infection: As with any incision, there is a risk of infection. Prophylactic antibiotics and careful wound care reduce this risk significantly.
  • Changes in Sensation: Numbness or reduced sensitivity is possible. Which may be temporary or long-lasting.
  • Poor scarring: While incisions are usually placed at the base of the nipple to reduce visibility, some individuals may experience delayed healing or develop raised or keloid scars.
  • Recurrence: In some cases, the nipple may begin to invert again. Surgical techniques aim to reduce this risk, but long-term outcomes depend on tissue behaviour and healing.
  • Impact on Breastfeeding: While our surgeons use techniques to preserve ductal function when possible, future breastfeeding ability may be affected, particularly in more severe inversions.

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What causes nipples to become inverted later in life?

While many individuals are born with inverted nipples, some experience changes later in life. This can occur due to factors such as breastfeeding, ageing, trauma, or previous breast surgery. In rare instances, sudden nipple inversion may be linked to underlying breast conditions, making it important to seek medical evaluation if new changes are noticed.

Can inverted nipples affect breastfeeding?

Yes, depending on the severity of inversion, breastfeeding may be impacted. Mild inversion often causes some difficulty, but moderate to severe inversion can make latching challenging for infants. During consultation, your surgeon will discuss whether surgery may increase the ability to breastfeed in the future, although outcomes can vary based on individual anatomy.

Is surgery for inverted nipples permanent?

Surgery aims to achieve long-lasting results. However, as with any procedure, individual healing responses vary. In some cases, there may be a risk of partial or full recurrence of inversion over time. Techniques used by our surgeons are designed to reduce this possibility by reinforcing internal support structures.

Will I lose nipple sensation after surgery?

While every effort is made to preserve nipple sensation during surgery, there is a risk of altered or reduced sensitivity following surgery. The likelihood of changes depends on the severity of inversion and the surgical method used. Many patients experience a gradual return of sensation during the healing period, but changes may be long-lasting.