Inverted Nipple Repair

Definition: Inverted nipples, or nipple inversion, occurs in about two out of every 100 women.

Inverted nipples are usually evident as a slit or hole in the breast at the location of the nipple and may be present on one or both sides.

Inverted nipples are usually a congenital problem but may be related to scarring from breast-feeding or infection in the ducts, or a previous breast surgery. Nipple inversion can cause functional problems such as irritation, rash and discomfort and may prevent the ability to breast-feed.

Correction is sought most often because it is a cosmetically undesirable condition and women simply do not like the way it looks and want it improved.

Is it right for me?
The typical patient:
Desire for a more natural projecting appearance to the nipples.
Focusing on how the nipples are flat and indented and do not stick out or enlarge as normal.
This may also relate to small breast size and the desire for breast enhancement at the same time.

Surgery: Anesthesia is usually a local, or a very light general if it is combined with breast enlargement. The surgery takes about one hour. There are two techniques to correct inverted nipples - one that leaves the milk ducts intact and one where the milk ducts need to be divided.In either case, the objective is to reshape the nipple and areola so that the nipple projects out from the breast, enhancing the appearance of the breast while preserving sensitivity of the nipple.The technique that leaves the milk ducts intact can also help preserve a woman's ability to breastfeed.

Risks: Loss of nipple sensation, inability to breastfeed, recurrence of nipple inversion, scarring.

Side Effects: There is minimal pain or swelling. Sensation is normal immediately or returns fully within several days.

Recovery time: Recovery is very rapid with a return to work and most activities within hours. Showers are permitted the next day. The sutures will be removed in 4 to 7 days.