Inverted Nipple Correction

What Causes Inverted Nipples?

Inverted nipples are often congenital, meaning they are present from birth due to fibrotic tissue under the nipple. However, other factors can also contribute to this condition. Trauma or scarring in the breast area can cause the nipple to retract, as can infections. For many women, pregnancy can lead to temporary nipple inversion, particularly if it is their first pregnancy. This typically resolves after childbirth and does not usually affect the ability to breastfeed.

In some cases, nipple inversion can be a sign of underlying medical conditions. Sudden or progressive nipple inversion in individuals who are not pregnant may indicate a need for medical evaluation, as it can sometimes be associated with breast cancer.

In men, gynecomastia, or the enlargement of breast tissue, can also cause one or both nipples to become inverted. Addressing the underlying cause of gynecomastia can often correct this condition. If the inversion is congenital, surgical intervention may be necessary to reposition the nipple.

Inverted Nipple Treatment Options

There are several effective techniques available for correcting inverted nipples, and the best approach will depend on your anatomy and personal preferences. Dr. Esmailian offers a variety of treatments to address this condition.

For less severe cases, non-surgical methods like suction devices or breast pumps can be tried. However, these options are often ineffective for more significant inversions.

Surgical intervention is typically the most effective method for persistent inverted nipples. This procedure involves releasing the fibrotic bands and possibly the milk ducts that are pulling the nipple inward, allowing it to protrude. Sutures may also be used to support the outward position of the nipple. While this surgery can successfully correct the inversion, it may impact breastfeeding ability, a crucial consideration for women planning future pregnancies.³ It's important to discuss your plans and concerns with Dr. Esmailian during your consultation.

During your initial consultation, Dr. Esmailian will thoroughly examine your condition and discuss the benefits and drawbacks of each treatment option, helping you choose the one that best meets your needs and goals.

Recovery and Results After Inverted Nipple Correction

The recovery period following inverted nipple repair surgery is typically straightforward, with most patients returning to their normal activities within one to two weeks. Immediately after the procedure, you may experience some swelling, bruising, and discomfort around the treated area. Dr. Farbod Esmailian will provide you with detailed post-operative care instructions to help manage these symptoms and promote healing.

During the initial recovery phase, it is important to follow these guidelines:

• Rest and Limited Activity: Take it easy for the first few days of downtime. Avoid strenuous activities and heavy lifting to prevent any strain on the surgical site.
• Pain Management: Dr. Esmailian may prescribe pain medication to help alleviate discomfort. Over-the-counter pain relievers can also be used as recommended.
• Incision Care: Keep the incision sites clean and dry. Follow the specific instructions provided by Dr. Esmailian on how to care for your sutures and dressings.
• Supportive Garments: Wearing a supportive bra can help minimize swelling and provide comfort during the healing process.
• Follow-Up Appointments: Attend all scheduled follow-up appointments with Dr. Esmailian to monitor your healing progress and address any concerns.

As the healing progresses, the initial swelling and bruising will subside, revealing the improved appearance of your nipples. Full results are typically visible within a few months, as the incisions fully heal and the nipple stabilizes in its new position.

Patients often report a significant boost in self-confidence and satisfaction with their appearance after inverted nipple correction. However, it's important to remember that individual results can vary based on factors such as the severity of the original inversion and the body's natural healing process.