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  • 26 July 2024
  • Mr A. Siddiqui

Last updated on July 10, 2024

Inverted nipples, where the nipples sink inward instead of protruding outwards, are a relatively common occurrence. They can affect one or both nipples, and the degree of inversion can vary from slight to complete. While inverted nipples, also called retracted nipples, are rarely a cause for health concern, they can sometimes affect breastfeeding or cause emotional distress. This article from our innovative plastic surgery clinic in Manchester explores the causes of inverted nipples, various treatment options, and when seeking medical advice is essential.

Understanding the Causes of Inverted Nipples

Inverted nipples can be present from birth (congenital) or develop later in life (acquired), and there are different degrees or grades of nipple inversion. Here’s a breakdown of the most common causes:

  • Congenital Inverted Nipples

    These develop during foetal development when the milk ducts behind the nipple remain underdeveloped or tight. When the milk duct shortens, this can cause a flat or inverted nipple.

  • Breastfeeding

    Inverted nipples can sometimes become more noticeable or develop during breastfeeding. This can occur due to prolonged or forceful sucking by the baby, leading to scarring or tightening of the milk ducts.

  • Hormonal Changes

    Fluctuations in hormone levels, particularly during puberty, pregnancy, and menopause, can affect the elasticity of the breast tissue and potentially cause flat or inverted nipples.

  • Weight Loss

    Rapid weight loss can lead to a loss of surrounding breast tissue volume, which can pull the nipple inward.

  • Body Piercings

    Nipple piercings, if not done correctly or if they become infected, can damage the underlying tissue and contribute to nipple inversion.

  • Underlying Medical Conditions

    In rare cases, inverted nipples can be associated with certain medical conditions like Paget’s disease of the breast, a type of breast cancer. However, this is uncommon, and other symptoms like skin changes or a lump in the breast are usually present alongside inverted nipples.

Why Do Nipples Invert | Flat or Inverted Nipples | Benign Inverted Nipple | How to Treat Inverted Nipple | Breast and Body Clinic Manchester
A flat or inverted nipple is usually a benign condition, but can have an aesthetic impact or an impact on breastfeeding. It can be treated with non-surgical or surgical approaches.

Treatment Options for Inverted Nipples

The decision to treat inverted nipples is a personal one. If they don’t cause any discomfort or interfere with breastfeeding, treatment might not be necessary. However, for individuals who experience discomfort or emotional distress due to inverted nipples, several treatment options are available:

Non-surgical Techniques

  • Hoffman Technique

    This simple technique involves gently squeezing the nipple base between the thumb and index finger for a few seconds, several times a day, over a period of weeks. This can help stretch and loosen the milk ducts, potentially helping to push the nipple outward.
  • Breastfeeding

    For some women with mild inversion, breastfeeding itself can help naturally correct the inverted nipple as the baby’s sucking stimulates the milk ducts. Consulting a lactation consultant can be beneficial to ensure proper latching techniques to maximise this effect.

Surgical Techniques

  • Minimally Invasive Procedures

    These outpatient procedures involve inserting a small device into the milk ducts to help them stay open. This can be a viable option for mild to moderate inversion.
  • Nipple Surgery

    In severe cases, inverted nipple correction surgery may be considered to permanently correct the inversion. This typically involves making a small incision around the nipple and releasing the underlying tight tissue to allow the nipple to protrude.
Flat or Inverted Nipples | Cosmetic Surgery to Ensure Protruding Nipples | How to Turn Inverted Nipples Outward | Breast and Body Clinic Manchester
Depending on the severity of your inversion, overall health, and goal to breastfeed, your doctor or plastic surgeon will help determine the best treatment.

Factors to Consider When Choosing a Treatment

The most suitable treatment for inverted nipples depends on several factors:

  • Severity of Inversion

    The degree of inversion influences the effectiveness of non-surgical techniques. For mild cases, non-surgical options might be sufficient. More severe inversion might require surgical intervention.

  • Desire to Breastfeed

    If you plan to breastfeed, discuss your options with a lactation consultant beforehand. Non-surgical methods may be preferred to avoid potential complications during breastfeeding such as damaged milk ducts.

  • Overall Health

    Underlying medical conditions might influence your candidacy for specific treatments. Discuss your health history with your doctor before pursuing any treatment options.

When to See a Doctor or Plastic Surgeon

While nipple retraction is usually not a cause for concern, consulting a doctor is recommended in the following situations:

  • Sudden Inversion

    If your nipples become inverted suddenly, especially if only one nipple is affected or there nipple discharge occurs, it’s crucial to see a doctor to rule out any underlying medical conditions.

  • Pain or Discomfort

    Inverted nipples that cause pain or discomfort should be evaluated by a doctor to determine the cause and discuss potential treatment options.

  • Changes in Breast Tissue

    Any changes in the appearance, texture, or colour of your breasts alongside inverted nipples warrant a doctor’s visit to rule out any underlying issues.

Book a Free Consultation with a Plastic Surgeon in Manchester

Consulting with an experienced plastic surgeon like Mr Siddiqui can provide insights into both surgical procedures and non-surgical options for treating inverted nipples, helping you to make an informed decision about your body. We also specialise in breast implants and augmentation, as well as tummy tuck procedures and mummy makeovers.
Contact us today for more information or to book a free initial consultation.

FAQs

Can inverted nipples prevent breastfeeding?

Severe inversion can make breastfeeding difficult as the baby may struggle to latch properly. However, non-surgical techniques like the Hoffman technique or working with a lactation consultant can often help achieve a successful latch in most cases. If this does not work, it is best to book a consultation with a plastic surgeon

Are inverted nipples hereditary?

There’s some evidence suggesting a genetic link to inverted nipples. If a close family member has inverted nipples, you might be more likely to experience them as well.

Do inverted nipples affect breast cancer risk?

No, inverted nipples themselves don’t increase your risk of breast cancer. However, in rare cases, inverted nipples can be a symptom of Paget’s disease of the breast, a type of breast cancer. This is usually accompanied by other symptoms like a scaly rash, itching, or a lump in the breast. If you experience any of these additional symptoms alongside inverted nipples, consulting a doctor is crucial.

Will inverted nipples affect the appearance of my breasts after breast augmentation?

The impact of inverted nipples on breast implants depends on the severity of inversion and the surgical technique used for the implant placement. Discuss your concerns with your plastic surgeon before your breast augmentation procedure. In some cases, the pressure from the implant itself can help improve nipple eversion.

What are the risks associated with surgery for inverted nipples?

As with any surgery, nipple correction procedures carry some risks like infection, bleeding, scarring, and nipple numbness. Discuss these potential risks thoroughly with your doctor before deciding on surgery.

Is nipple inversion reversible?

Non-surgical techniques like the Hoffman technique can often successfully reverse mild to moderate inversion. However, the success rate depends on the cause and severity of the inversion. In some cases, surgery might be necessary for permanent correction.

Mr A. Siddiqui
About The Author

Mr A. Siddiqui

Mr Siddiqui is a Consultant Plastic and Cosmetic Surgeon, based at The Countess of Chester Hospital in the Department of Plastic and Reconstructive Surgery. He trained extensively in plastic surgery before becoming a Consultant in the NHS and developing a private practice in Manchester and other areas of the Northwest. He is considered to be one of the top 10 cosmetic surgeons in Manchester.

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