Correcting inverted nipples

• Thursday October 5, 2006 | Posted in: Plastic Surgery Procedures

  Nipple inversion is when the nipple grows inwards instead of out.  Around 2% of all women complain of this condition as ‘disfiguring’, to which the degree a nipple is inverted varies from "shy" to severely retracted.  Nipple inversion can be caused by congenital deformation, carcinoma or mammary duct ectasia with periductal fibrosis.  

  Nipples that have been inverted since birth or have become inverted due to breast-feeding can be corrected.  On certain cases, recurrence of nipple inversion after surgical repair or other trauma may be also repaired.

  There are cosmetic surgery clinics that specialize on inverted nipple correction offering unique approach, both in the surgery and the after-care.  At best, the attending surgeon should repair the nipple, retain nipple projection, leave minimal scarring, and give a natural appearance.

  The surgery consists of a small incision at the base of the nipple.  This is done while the nipple is in a protected projected state.  Then, within the nipple, the very fibers that pull the nipple inward are gently stretched. Here, special care is taken since the stretching happens parallel to the milk ducts.  The goal is to preserve the milk ducts.  

  Once the nipple is free and in an outward, normal position, several special sutures (stitches) are placed inside the nipple. The sutures are placed in various positions to add stability and strength to the base of the nipple and help retain the nipple’s outward projection.   

  Depending on the degree of the needed repair, a patient may be administered with local anesthesia, intravenous sedation and local anesthesia, or general anesthesia.  

  The surgical correction can be done on an outpatient basis.  Also, after two weeks, the initial incision shall be barely noticeable. It is not necessary to have any stitches removed since the sutures dissolve within 10 to 14 days.

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