If you are wondering about whether or not your nipples are inverted, gently compress the areola (the pigmented area around the nipple) between your thumb and forefinger. Most nipples will protrude. Flat nipples don’t do anything at all. Inverted nipples will retract. It is not unusual to have one nipple that is flat or inverted and one that is not.
- Different types of inverted and flat nipples
- Causes of the Inverted Nipple
- What gives the Breast its Shape?
- Your Inverted Nipple Treatment Consultation
- The Treatment for the Inverted Nipple
- The Recovery* after Inverted Nipple Treatment
- Risks* of Inverted Nipple Treatment
- Frequently Asked Questions About Inverted Nipple Treatment
Inverted Nipple Treatment Before and After Photos
* Each patient is unique and individual results may vary.
Different types of inverted and flat nipples
- Dimpled. Only part of the nipple protrudes. The nipple can be pulled out but does not stay that way.
- Unilateral. Only one breast has an inverted or flat nipple.
- Inverted. There are two different possible degrees of nipple inversion. There is a slight inversion and a moderate to severe inversion where the nipple retracts deeply when the areola is compressed, to a level underneath the areola.
- Hereditary. This condition may be an inherited family trait.
- Trauma. An injury to the breast tissue may cause long term scarring of the fibrous bands connected to the nipple, the subsequent scarring can then cause a shortening of the bands resulting in the inversion of the nipple.
- Previous surgery. Surgery, such as a breast biopsy can also cause a shortening of the fibrous bands beneath the nipple and cause inversion.
- Breast Tumor. The presence of a breast tumor may also cause inversion of the nipple.
The breast consists of milk ducts and glands, surrounded by fatty tissue that provides its shape and soft feel. (Fig. see diagram in inamed pamphlet pg. 2)
Situated beneath the breast is the pectoralis major muscle.
The skin envelope surrounds the breast mound and the nipple areola complex is connected to the underlying milk ducts and fibrous bands whose shortening may cause inversion of the nipple.
Before considering surgery to release an inverted nipple, all patients will need a pre-operative consultation. At this time we review your medical history and perform a physical examination to ascertain if you are indeed a candidate for the surgical release of an inverted nipple. We have found that this procedure is not usually covered by insurance.
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For over a decade, Dr. Ewings has taken pride in delivering excellence in plastic surgical care. She earned her medical degree from the University of Wisconsin-Madison School of Medicine, and completed her residency training in plastic surgery at Saint Louis University. Additionally, she gained extensive experience in pediatric and craniofacial surgery during her fellowship at the University of Tennessee – Memphis, and Hôpital Necker-Enfants Malades in Paris, France. She is board Certified by the American Board of Plastic Surgery.
The treatment options range from conservative to operative. A conservative approach called the Hoffman technique may help to loosen the adhesions at the base of the nipple.* Place a thumb on each side of the base of the nipple directly at the base of the nipple, not at the edge of the areola. Push firmly against your breast tissue while at the same time pulling the nipple and loosen the tightness at the base of the nipple, which will make it move up and outward. Repeat this twice per day. The surgical release of the inverted nipple is accomplished by a release of the fibrotic bands beneath the nipple that are causing the problem. Care is taken to avoid damage to the lactiferous ducts; however in severe cases the preservation of these structures may not be possible. The surgery is done under a local anesthetic on an outpatient basis. The operative time is approximately one hour.
The Recovery* after Inverted Nipple Treatment
Most patients rate the pain level as a 1 on a scale of 1 to 10.* All patients are given detailed postoperative written instructions and prescriptions for pain control and an antibiotic. Normal activity is tolerated well in the first week.* Your final consultation usually occurs 5 months after your procedure.
Why Choose Dr. Ember Ewings
For over a decade, Dr. Ember Ewings has taken pride in delivering excellence in plastic surgical care. She earned her medical degree from the University of Wisconsin-Madison School of Medicine and completed her surgical residency training in plastic surgery at Saint Louis University. Additionally, she gained extensive experience in pediatric and craniofacial surgery during her fellowship at the University of Tennessee – Memphis, and Hôpital Necker-Enfants Malades in Paris, France. Dr. Ewings is also Board Certified by the American Board of Plastic Surgery.
Dr. Ewings has enjoyed caring for patients of all ages from across the upper Midwest, and performs both cosmetic surgical, non-surgical, and reconstructive procedures, and is delighted to be able to provide outreach services in Durand, Wisconsin.
She owns and operates the Plastic Surgery Clinic of Eau Claire in Eau Claire. Prospective patients can reach Dr. Ewings through her online Consult Form, or at her practice, Plastic Surgery Clinic of Eau Claire – 715.833.2116 or 800.456.8222.
Dr. Ewings and her staff hope that this information will be of help to you if you are considering the correction of an inverted nipple. Your inquiries are welcome.
There is a potential for complications in any operative procedure. The most common being infection, scarring and sensation changes. During your consultation a detailed discussion of these potential risks will be given to you.
*Individual results may vary. Plastic Surgery Clinic of Eau Claire DisclaimerRead more.
Frequently Asked Questions About Inverted Nipple Treatment
If you live near Eau Claire, WI, Plastic Surgery Clinic of Eau Claire offers inverted nipple treatment among its services, and is conveniently located at 3221 Stein Blvd #2 Eau Claire, WI 54701
Dr. Ewings customizes each breast lift to match her patient’s unique aesthetic goals for beautifully-shaped, perky breasts and lifted nipples.
Dr. Ewings can fill in indentations, subtly improve the shape of the nose, and even enhance facial balance by making small adjustments to the nose.