Inverted Nipples

Inversion of the nipples is a relatively common condition, which may be embarrassing you if just one side is affected. This results in asymmetry since the inverted nipple does not respond to cold weather or stimulation. You may be self-conscious about this especially in beachwear or swim wear. It is also difficult to breast-feed with an inverted nipple.

The nipples are connected to the underlying breast tissue by means of tiny tubes called ducts. Nipple inversion occurs when these ducts are too short and pull the nipple inwards. It is important for the entire breast to be examined carefully for nipple inversion of recent onset may be a sign of an underlying cancer.

Correction of inverted nipples is usually done under local anaesthesia as a day care surgery. A small incision is made just below the nipple and the shortened ducts are divided. The nipple is pulled out and held in place with a dissolving suture which is placed under the skin. A small dressing is applied which is removed the following day.

There may be slight bruising or swelling and tenderness at the site of surgery, which resolves within a few days.

Patients can return to work within 2 - 3 days.

The complications that can occur are mild bleeding, blood clot formation and infection. There may be a loss of sensation in the nipple and breast-feeding may not be possible. Inversion of the nipple may also recur.