Esmailian Logo
562.430.7373 Contact

What is an Inverted Nipple?

An inverted nipple is a nipple that appears flat or receded into the breast tissue, rather than projecting outward. This can occur with the nipple sitting flush with the surrounding skin or deeper within the areola, the pigmented area around the nipple. In some cases, nipple inversion may be temporary and correct itself with stimulation or exposure to cold. However, more pronounced inversions remain persistent and cannot be corrected through physical manipulation. While inverted nipples are primarily an aesthetic concern, they can also pose challenges for breastfeeding and impact an individual's self-esteem and confidence.

Grading Inverted Nipples

Inverted nipples are classified into three distinct grades, each indicating the level of severity and potential impact on breastfeeding:2

  • Grade 1: The nipple can be drawn out with gentle stimulation, such as squeezing or breastfeeding, and generally stays extended for a significant period before retracting.
  • Grade 2: The nipple requires more effort to pull out and tends to revert quickly to its inverted state once the stimulation is stopped.
  • Grade 3: The nipple remains retracted and is very difficult or impossible to pull forward, even with significant manual effort.

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.

Preparing for Inverted Nipple Surgery

Before undergoing inverted nipple correction surgery, it is essential to have a comprehensive consultation with Dr. Farbod Esmailian at his Orange County office. During this consultation, Dr. Esmailian will conduct a thorough examination to assess the degree of nipple inversion and discuss your medical history, including any previous breast surgeries or conditions that may affect the procedure.

Dr. Esmailian will also take the time to understand your goals and expectations, explaining the surgical process in detail, including the techniques he will use and the potential outcomes. This is an excellent opportunity to ask any questions you may have about the procedure, recovery, and what to expect in terms of results.

By carefully following Dr. Esmailian's pre-operative guidelines, you can help ensure a smooth surgery and optimal recovery. This preparation phase is crucial to achieving the best possible outcome and ensuring your safety throughout the process.

In preparation for the surgery, Dr. Esmailian may provide specific pre-operative instructions, which could include:

  • Medical Evaluation: You may need to undergo a medical evaluation or lab tests to ensure you are in good health for surgery.
  • Medications: Dr. Esmailian will review your current medications and advise you on which to continue or temporarily discontinue, particularly those that might increase bleeding, such as aspirin or certain anti-inflammatory drugs.
  • Smoking and Alcohol: You will likely be advised to stop smoking and avoid alcohol for a specified period before and after the surgery to promote better healing.
  • Pre-Operative Guidelines Detailed instructions on what to do on the day of surgery, such as fasting requirements and arranging for someone to drive you home after the procedure.

The Inverted Nipple Correction Surgery Procedure

Inverted nipple repair surgery is a specialized procedure performed under either local anesthesia or general anesthesia, depending on the specific needs and comfort of the patient. During the surgery, a small incision is made at the base of the nipple to release the fibrotic tissue and ducts causing the inversion. This allows the nipple to be repositioned to a more natural, outward-facing position with improved nipple projection.

Once the nipple is properly positioned, it is secured with sutures to maintain its new placement. In some cases, additional techniques such as removing a small amount of breast tissue or using a dermal graft may be employed to provide additional support and ensure long-lasting results.

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.

FAQs About Inverted Nipple Repair

Who is a good candidate for inverted nipple repair?

Is inverted nipple correction surgery permanent?

Is inverted nipple surgery painful?

How long does recovery take after an inverted nipple correction procedure?

Are there risks associated with the surgery?

Can I breastfeed after inverted nipple surgery?

Can I combine any other cosmetic procedures with inverted nipple treatment?

Who is a good candidate for inverted nipple repair?

Individuals experiencing persistent nipple inversion who feel self-conscious or dissatisfied with their breast appearance may be good candidates for the inverted nipple correction procedure. During a consultation, Dr. Esmailian will evaluate the severity of your inversion, overall health, and cosmetic goals to determine if you are a suitable candidate for the procedure.

Is inverted nipple correction surgery permanent?

The results of inverted nipple repair surgery are generally long-lasting. However, in rare instances, nipples may revert to their original inverted position over time.

Is inverted nipple surgery painful?

Post-surgery, some discomfort and swelling are common, but these symptoms are temporary and can be managed with prescribed pain medication. Dr. Esmailian will provide specific instructions on how to manage any discomfort.

How long does recovery take after an inverted nipple correction procedure?

Recovery typically spans one to two weeks, with most patients returning to their normal activities within this timeframe. Complete healing of the incisions may take several months. Detailed post-operative instructions will be provided to promote optimal healing.

Are there risks associated with the surgery?

As with any surgical procedure, there are risks involved in inverted nipple correction. Potential side effects and risks of inverted nipple surgery may include:

  • Bleeding
  • Infection
  • Scarring
  • Changes in nipple sensation or sensitivity4

Dr. Esmailian will discuss these potential risks with you and provide guidelines to minimize them.

Can I breastfeed after inverted nipple surgery?

Surgical correction of inverted nipples can impact breastfeeding. If you plan to have children and breastfeed in the future, it is essential to discuss your options and concerns with Dr. Esmailian during your consultation.5

Can I combine any other cosmetic procedures with inverted nipple treatment?

Yes, inverted nipple correction can be combined with other cosmetic breast procedures such as breast augmentation, breast lift (mastopexy), or breast reduction with or without areola reduction. This approach can address multiple aesthetic concerns in a single surgical session. Dr. Esmailian will assess your unique anatomy and goals to create a personalized treatment plan that meets your desired outcomes.

Dr. Esmailian
Doctor media

Contact Dr. Esmailian

If you are considering inverted nipple correction surgery, schedule a consultation with Dr. Farbod Esmailian in Orange County, CA. Our team is dedicated to helping you achieve your aesthetic goals and regain your confidence.

Schedule A Consultation

Contact Us
Contact us media
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at 562.430.7373.
Contact Us