Inverted Nipple Correction Surgery

What is an inverted nipple?

An inverted nipple is a condition where the nipple is drawn inward instead of projecting outward.

• In some cases, the nipple may protrude temporarily when stimulated.
• In others, the inversion remains constant, regardless of stimulation.
• This condition can occur in both women and men and may affect one or both nipples.

What causes inverted nipples?

Inverted nipples are usually caused by an imbalance of forces in the breast tissue:

• Inward traction: Tight or shortened milk ducts pull the nipple inward.
• Outward traction: Muscles within the nipple naturally pull it outward.
• If the inward pull is stronger than the outward force, the nipple becomes inverted.

The severity of nipple inversion varies and is often graded as:

• Grade 1: Mild inversion, easily corrected with gentle manipulation.
• Grade 2: Moderate inversion, may temporarily protrude with stimulation.
• Grade 3: Severe inversion, remains retracted even with stimulation.

An initial consultation is necessary to assess the grade of inversion and determine suitable treatment options.

Non-surgical vs. surgical options

Before considering surgery, it’s important to explore non-surgical treatments, as they can be effective for some individuals, especially those with mild nipple inversion.

Non-surgical treatments

A commonly recommended option is a nipple suction device, which:

• Gently stretches the milk ducts over time.
• Can be used regularly, including overnight.
• Is most effective for grade 1 (mild) inversions, but tends to be less effective for grade 2 or 3 cases.

Your practitioner will advise if a non-surgical approach is appropriate for you.

Surgical treatment – Inverted nipple correction surgery

Surgery may be recommended when non-surgical treatments have not been effective or if the inversion is more severe.

Procedure details:

• Usually performed under local anaesthetic.
• The tethered milk ducts causing the inversion are carefully released or divided, allowing the nipple to project outward.
• Soluble internal stitches are placed at the base of the nipple to help maintain its position during healing.
• The procedure typically takes around 30 minutes.

Considerations and possible disadvantages

The most significant consideration with this procedure is its impact on breastfeeding.

• Because the milk ducts are cut or lengthened during surgery, you may not be able to breastfeed from the affected nipple(s) afterward.
• This is important to carefully consider, particularly if you plan to have children and would like to breastfeed in the future.

Potential risks and complications

As with any surgical procedure, there are risks involved, including:

• Infection
• Bleeding or haematoma (blood collection beneath the skin)
• Scarring, which may vary depending on healing
• Changes in nipple sensation, which may be temporary or permanent
• Asymmetry or dissatisfaction with the final appearance
• Recurrence of nipple inversion over time

Your health practitioner will discuss these risks with you and provide guidance tailored to your situation.

Recovery after surgery

Recovery is usually straightforward, but healing times vary depending on the individual.

• Swelling, bruising, or mild discomfort are common and can be managed with recommended care.
• Most people return to normal daily activities within a few days, but you should avoid strenuous activity or direct trauma to the area for several weeks.
• Follow-up appointments are essential to monitor progress and check for any complications.

Expected outcomes

Surgery can help correct the nipple’s position, creating a more typical outward appearance. However:

• Results vary depending on factors such as tissue healing, the original severity of inversion, and aftercare.
• There is no guarantee of permanent correction, as recurrence is possible.
• A detailed consultation will help you understand what is realistically achievable for your situation.

Key points to consider

• Explore non-surgical treatments before deciding on surgery, especially for mild inversion.
• Carefully weigh the decision if you wish to breastfeed in the future.
• Seek a qualified, registered health practitioner to discuss whether surgery is appropriate for you and to fully understand the potential risks and outcomes.