Many women express feeling self-conscious about the appearance of inverted nipples.  Even when comfortable with your breast size and shape, inverted nipples may prevent you from feeling confident in intimate settings.  Inverted nipple correction is a minor surgical procedure that may help restore confidence and enhance breast appearance with the help of a board-certified plastic surgeon.

What is Inverted Nipple Correction?

Inverted nipples may be congenital (present from birth during normal development) or acquired.  For acquired cases, nipple inversion may be related to benign or malignant causes.  If nipple inversion develops at a later age, particularly if affecting one side only, it is important to see your family physician urgently for appropriate work up to rule out breast cancer.  Many women have congenital nipple inversion, which is a variation of normal development.  It may range from mild inversion, which may periodically correct itself, to severe presentation.   Severe cases may result in difficulty with breastfeeding or pumping.  Inverted nipple correction may improve nipple projection to address your aesthetic concerns.   You will unfortunately be unable to breastfeed after inverted nipple correction, which is an important point to consider regarding timing of surgery.  Many women choose to delay inverted nipple correction until after pregnancies and breastfeeding for this reason.

How is Inverted Nipple Correction Performed?

Inverted nipple correction may be performed under local or general anesthetic.  A small incision is created at the lower border of areola.  Through this incision, the tethering is released that pulls the nipple inward.  Following release, the incision is closed and the nipple is generally stitched to a protective medicine cup dressing to hold the nipple out to length.  This may lower the risk of recurrent inversion.

Inverted Nipple Correction Recovery

You will generally require pain medication for a few days following inverted nipple correction.  You will receive aftercare instructions regarding showering and wound care.   Most women are able to return to office-based work within a few days of surgery.  The protective dressing and sutures are generally removed 10-14 days post-operatively.  It is recommended to avoid exercise for two weeks since it may disrupt your dressings or increase risk of further bruising, swelling, or bleeding. 

Inverted Nipple Correction FAQ’s

Can I Breastfeed with Inverted Nipples?

Your ability to breastfeed with inverted nipples may depend on the severity of inversion. Some women are unable to breastfeed given difficulty in the baby latching appropriately, but may still be able to pump. After inverted nipple correction, you will be unable to breastfeed or pump given that the duct is divided. This may be an important consideration for the timing of this procedure.

Are Inverted Nipples Permanent?

If you have mildly inverted nipples, they may fluctuate and only be inverted at certain times. Severely inverted nipples do not fluctuate in appearance. The inversion does not correct with aging or further breast development unless inverted nipple correction is performed.

Can I Breastfeed After My Inverted Nipple Surgery?

No, you will be unable to breastfeed or pump after inverted nipple surgery. If you are planning future pregnancies and may wish to breastfeed, it is generally advised to defer surgery until pregnancies and breastfeeding are completed.

What Are the Risks Associated with Inverted Nipple Correction?

In addition to general surgical risks, including bleeding, infection, and scarring, risks of inverted nipple correction include recurrence, asymmetry, and change in nipple sensation. Dr. Power will discuss your best options based on your anatomy and goals during your consultation, including a thorough discussion of risks as part of the informed consent process.

Schedule an Inverted Nipple Correction Consultation

Inverted nipple correction may help you feel more confident with the appearance of your breasts. To meet with Dr. Power and learn more about your best options, contact our Toronto office by calling or filling out our online form.

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