Inverted Nipples

Inverted nipple is a condition in which there is inadequate projection of the nipple. Different degrees of severity are noted, and at times, only one nipple may be inverted.

A grade 1 nipple inversion allows the nipple to be easily pulled out, or the nipple will project with stimulation, or gentle finger pressure below the nipple around the areola. In grade 2 conditions, the nipple falls back into the areola. In grade 3, the nipple is retracted and inverted and responds poorly to any attempt to pull it out.

Often the surgery to correct nipple inversion can be done under local anesthesia with or without sedation. It can also be done under general anesthesia. Pain is minimal after the surgery and one can return to normal activities in a day or two.

The degree of retraction will influence the outcome. The best results are achieved in grade 1 nipple inversion, whereas more recurrence or incomplete projection can occur after operating on grade 3 inverted nipples. A light dressing is applied after the surgery.