Correction Of Inverted Nipples Surgery
An inverted nipple (occasionally invaginated nipple) is a nipple that, instead of pointing outward, is retracted into the breast. In some cases, the nipple will be temporarily protruded if stimulated, but in others, the inversion remains regardless of stimulus. Women and men can have inverted nipples.
Most people who have inverted nipples are happy to hear about surgical corrections and how simple they can be. Inverted nipple repair is performed on nipples that have been inverted since birth or have become inverted due to breast feeding or other trauma. Recurrence of nipple inversion after surgical repair elsewhere is also a reason that nipple repair may be performed.
both in the surgery and the after-care (using the Stevens Stent for traction to ensure the nipple retains eversion), repairs the nipple, retains nipple projection, leaves minimal scarring, and gives a natural appearance.
The surgery consists of a small incision at the base of the nipple while the nipple is in a protected projected state. Then a gentle spreading of the fibers is performed within the nipple (these fibers are what pulls the nipple inward). Special care is taken: the spreading happens parallel to the milk ducts in order to preserve them.
Once the fibers are spread and the nipple is free and in an outward, normal position, special sutures (stitches) are placed inside the nipple. If you think of a clock, the sutures go from the 12:00 position to the 6:00 position. Another set of sutures go from the 3:00 position to the 9:00 position. A third suture goes around the base of the nipple. This adds stability and strength to the base of the nipple and helps retain its outward projection. All sutures are dissolving so you won't be required to come into the office to have any stitches removed.
The sutures dissolve within 10 to 14 days and the initial incision will not be noticeable. To date, none of the nipples corrected have reverted.
Read more about inverted nipples including the various types and why they occur.
Ready to seek help for your nipples right now? Just go Inside Online and request an appointment with Dr. Stevens or Dr. Stoker. You may be able to save up to $150 on your consultation.
What’s Going On To Cause Inverted Nipples. When your nipple stays in a flat, or even a fully depressed or inverted position you’re typically dealing with a family heredity issue where perhaps your mother or father’s ancestors shared the same breast condition. Alternatively, a small abnormality unique to you occurs… where either scar tissue associated with your milk glands, or bound-up and constricted tissue matter encircling the base of your nipple or areola occurs. Result? An inverted nipple condition occurs. Your nipple is effectively ‘locked down’ into a position, held in place by a matrix of abnormal tissue, even scar tissues in some cases.
Nipple Piercing can be used to retain nipples which can be manually protracted. Nipple rings can cause scar tissue build up and possibly interfere with future breastfeeding ability, although this is rare. The most common complication of nipple piercing is the possibility for infection.
Nipple stretching, such as the Hoffman Technique, may help coax out inverted nipples. These programs may help cosmetically, but also might interfere with the ability to successfully breastfeed.
Nipple Clamps can temporarily protract nipples which can be manually drawn out to begin with.
Nipple pumps and syringes can temporarily protract flat or inverted nipples.
Nipple shields do not protract inverted nipples, but can make breastfeeding easier.
Typical Minimum Cost of Inverted Nipple (based on national averages):
Most people who have inverted nipples are happy to hear about surgical corrections and how simple they can be. Inverted nipple repair is performed on nipples that have been inverted since birth or have become inverted due to breast feeding or other trauma. Recurrence of nipple inversion after surgical repair elsewhere is also a reason that nipple repair may be performed.
 Nipple inversion patient before surgery |  Nipple inversion patient before surgery |
 1 year after surgery |  1 year after surgery |
Surgical Correction of Inverted Nipples
Correction for inverted nipples can be done on an out-patient basis. A patient can opt for local anesthesia, intravenous sedation and local anesthesia, or general anesthesia.The surgery consists of a small incision at the base of the nipple while the nipple is in a protected projected state. Then a gentle spreading of the fibers is performed within the nipple (these fibers are what pulls the nipple inward). Special care is taken: the spreading happens parallel to the milk ducts in order to preserve them.
 Nipple base approached via an inferior periareolar incision |  Blunt dissection using a vertical spreading technique parallel to the ducts |  Ductal structures are easily visualized and preserved |
 Two internal 4-0 chromic sutures placed from the twelve to six o'clock and the three to nine o'clock positions |  An external 4-0 chromic purse string suture run at the junction of the nipple areola border |  An external 4-0 chromic purse string suture run at the junction of the nipple areola border |
The Stevens Stent
Finally a special stent called the Stevens Stent, is placed over the nipple. This stent actually holds your nipple in place and ensures that the nipple heals in an outward position, retaining the integrity gained through the surgery. Not only does it help with the nipples' projection, it also protects the nipple in the healing stages. This stent is left on for one to three days.  A 4-0 Nylon traction suture placed through the center of the nipple |  Stents consisting of a medicine cup and gauze padding |
Read more about inverted nipples including the various types and why they occur.
Ready to seek help for your nipples right now? Just go Inside Online and request an appointment with Dr. Stevens or Dr. Stoker. You may be able to save up to $150 on your consultation.
What’s Going On To Cause Inverted Nipples. When your nipple stays in a flat, or even a fully depressed or inverted position you’re typically dealing with a family heredity issue where perhaps your mother or father’s ancestors shared the same breast condition. Alternatively, a small abnormality unique to you occurs… where either scar tissue associated with your milk glands, or bound-up and constricted tissue matter encircling the base of your nipple or areola occurs. Result? An inverted nipple condition occurs. Your nipple is effectively ‘locked down’ into a position, held in place by a matrix of abnormal tissue, even scar tissues in some cases.
Methods of Inverted Nipple Correction
There are numerous choices when it comes to choosing a method of nipple protraction. Discuss which modality is best for your needs with your doctor, as circumstance and physical criteria will influence this decision.Cosmetic nipple surgery can permanently draw out inverted nipples. This operation can cause side effects and complications which might affect nipple function.Nipple Piercing can be used to retain nipples which can be manually protracted. Nipple rings can cause scar tissue build up and possibly interfere with future breastfeeding ability, although this is rare. The most common complication of nipple piercing is the possibility for infection.
Nipple stretching, such as the Hoffman Technique, may help coax out inverted nipples. These programs may help cosmetically, but also might interfere with the ability to successfully breastfeed.
Nipple Clamps can temporarily protract nipples which can be manually drawn out to begin with.
Nipple pumps and syringes can temporarily protract flat or inverted nipples.
Nipple shields do not protract inverted nipples, but can make breastfeeding easier.
Inverted Nipple Correction Risks
Some methods of drawing out an inverted nipple can influence nipple function and sensation. Any surgical procedure (including piercing) can damage sensitive tissue, reduce sensitivity, prevent nipple arousal and hinder breastfeeding ability. This is also true for some non-surgical techniques, such as manual stretching and overuse of pumps or syringes. Infection is possible from any method which pierces the skin and can result in serious health concerns. Consult with your doctor before choosing any method of correcting an inverted nipple.Pregnancy and breastfeeding
Women with inverted nipples may find that their nipples protract (come out) temporarily or permanently during pregnancy, or as a result of breastfeeding. Most women with inverted nipples who give birth are able to breastfeed without complication, but inexperienced mothers may experience higher than average pain and soreness when initially attempting to nurse. When a mother uses proper breastfeeding technique, the infant latches onto the areola, not the nipple, so women with inverted nipples are actually able to breastfeed without issue. An infant that latches on well may be able to slush out an inverted nipple. The use of a breast pump or other suction device immediately before a feeding may help to draw out inverted nipples. A hospital grade electric pump may be used for this purpose. Some women also find that using a nipple shield can help facilitate breastfeeding. Frequent stimulation such as sexual intercourse and foreplay (such as nipple sucking) also helps the nipple protract.
Inverted Nipple Correction Via Breast Pump. Breast pumps do more than stimulate lactation and deliver mother’s milk to your baby. That same suctioning power of the breast pump can be applied during non-feeding times, or for women not pregnant, in an action designed to firmly distend your nipple and help you break-up the offending interior adhesions.
Typical Minimum Cost of Inverted Nipple (based on national averages):
$1,000.00Typical Maximum Cost of Inverted Nipple (based on national averages):
$4,000.00 National Average Cost of Inverted Nipple:
$2,500.00 Time Required for Inverted Nipple:
The time required to perform the surgery varies, but 1-2 hours is typical. Is Inverted Nipple an InPatient or OutPatient Procedure?
In most cases, inverted nipple correction surgery is performed on an outpatient basis, but in certain instances, the patient may be asked to stay overnight. What are the Side Effects of Inverted Nipple?
Patients may exprience pain, swelling and sensitivity in their nipple area for a up to two weeks following surgery. How Long do Inverted Nipple results last?
Results from this surgery are permanent.What is the recovery time for Inverted Nipple?
Recovery time varies based on the particulars of the patient. Typically patients can move around immediately following surgery but they should be driven home and will typically be encouraged to stay in bed for 2 days after the surgery. Work can usually be resumed a week after the treatment. What types of anesthesia is necessary for Inverted Nipple?
Local anesthesia is usually employed but in certain cases general anesthesia may be required.
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