Inverted Nipple Correction

About Inverted Nipple Correction Surgery

Inverted nipples are a relatively common anatomical variation that may occur in both males and females. In some cases, one or both nipples may point inward rather than projecting outward.

What Are Inverted Nipples?

Inverted nipples may be congenital (present from birth) or acquired (developing later in life). They can result from structural factors such as shortened milk ducts, fibrous tissue, or other anatomical variations. In some cases, they may also be associated with:

• Inflammation or infection
• Trauma or injury
• Changes related to prior breastfeeding

Common Contributing Factors

• Congenital anatomical variation
• Shortened milk ducts
• Underdeveloped supporting breast tissue
• Trauma or injury
• Infection or inflammation affecting the nipple or areola

Clinical Assessment

A thorough clinical assessment is essential to determine the cause and severity of nipple inversion and to guide an appropriate treatment plan. During your consultation, the specialist plastic surgeon will typically:

• Review your medical and surgical history
• Examine the nipples and surrounding tissue to assess severity (often using a grading scale)
• Identify any structural factors contributing to the inversion
• Discuss potential treatment options, associated risks, and expected recovery

This assessment helps ensure that any recommended treatment is appropriate for your individual circumstances and that you have the information needed to make an informed decision.

Understanding Nipple Inversion Correction

Nipple inversion correction, sometimes called inversion repair, is a surgical technique used to address inward-facing nipples by releasing underlying constricting tissue.

• May be considered for individuals whose nipples appear flat or point inward.
• May involve reshaping the nipple to align with the anatomical proportions of the chest.
• May help address structural concerns and support improved projection or alignment of the nipple

What to Expect from Nipple Correction Surgery

The surgical approach for nipple correction is tailored to the individual and developed following a comprehensive assessment by specialist plastic surgeons, Dr Ania Smialkowski (MED0001668109, FRACS) or Dr Henry Shepherd (MED0001860545, FRACS). This assessment considers your anatomy, the degree of nipple inversion, and any associated clinical factors to develop an appropriate treatment plan.

Who May Consider Inverted Nipple Correction

The severity of nipple inversion is often assessed using a three-grade scale to help guide treatment planning:

• Grade 1: Nipples may appear inverted at rest but can protrude with stimulation or exposure to cold temperatures.
• Grade 2: Nipples are mostly inverted but may temporarily protrude with stimulation or suction.
• Grade 3: Nipples remain inverted due to tight constriction of surrounding breast tissue and do not protrude with stimulation or suction.

Recovery after Inverted Nipple Correction

Recovery experiences vary between individuals and depend on factors such as the surgical technique used, healing capacity, and overall health. The following provides a general overview of what to expect:

Immediate Postoperative Period

• Pain management: Some mild discomfort or pain is common. Your surgeon may prescribe pain relief or recommend over-the-counter options.
• Swelling and bruising: These are expected and usually settle over time. Using cold compresses as advised may help.
• Dressings and bandages: Follow your surgeon’s instructions carefully to keep the incision site clean and supported.

First Few Days

• Rest and recovery: Adequate rest is important. Strenuous activities, heavy lifting, and vigorous exercise should be avoided during this period.
• Postoperative care instructions: Follow your surgeon’s instructions for wound care and attend scheduled follow-up appointments.

First Week

• Many people can gradually resume light daily activities after the first week.
• Avoid movements or activities that place pressure on the chest or nipples until cleared by your surgeon.

Risks Associated with Inverted Nipple Correction Surgery

As with all surgical procedures, inverted nipple correction carries potential risks, which may include:

• Bleeding or infection
• Changes in nipple sensation, which may be temporary or permanent
• Recurrence of nipple inversion

Your specialist plastic surgeon will discuss these risks with you in detail during your consultation to support informed decision-making.