An inverted (retracted) nipple is a condition in which the nipple is drawn inward instead of projecting outward. The basic cause is that the milk ducts and connective tissue fibers that pull the nipple inward from the inside are short or tight.
The condition can be at different levels, from mild to advanced. In mild grades the nipple may protrude with stimulation, while in advanced grades it stays inward all the time.
Important: Retraction that develops later in a nipple that was previously normal must always be evaluated by a physician. This may be a sign of an underlying problem and must not be neglected.
1. Examination. The degree of retraction is determined. If it is a condition that has developed later, its cause is investigated first.
2. Planning. Loosening the tight ligaments that pull the nipple inward and supporting the nipple so that it stays out is planned. The incision is concealed at the base of the nipple.
3. Procedure. It is a short procedure, generally performed under local anesthesia.
4. Follow-up. It is important not to put pressure on the area and to follow the dressing recommendations.
In the first days there may be tenderness and mild swelling in the area. Return to daily life is generally possible within a short time.
As with every surgical procedure, this one carries certain risks. Being aware of them is necessary for a sound decision:
This list does not cover all possibilities. Your personal risk profile, medical history and current health status are assessed in detail at the examination and shared with you as part of the consent process.
The milk ducts may be affected in the procedure. People who plan to breastfeed in the future must mention this at the examination; the approach is evaluated accordingly.
Partial recurrence may be seen. This possibility varies according to the degree of retraction and the tissue structure.
Retraction that develops later in a nipple that was previously normal must always be evaluated by a physician. This is primarily a matter of medical evaluation, not an aesthetic one.
In most cases local anesthesia is sufficient. The suitable anesthesia method is determined at the examination.
An inverted nipple appearance mostly does not correct itself; it is evaluated according to its degree and the underlying cause. If there is a newly appearing, one-sided retraction, a medical investigation is always required before an aesthetic evaluation.
Specialist in Plastic, Reconstructive and Aesthetic Surgery. A graduate of Selçuk University Faculty of Medicine; he completed his specialty training at the University of Health Sciences, Afyonkarahisar Health Application and Research Center. He works at Antalya Yaşam Hastanesi (Şirinyalı, Muratpaşa / Antalya).
