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Retracted nipples

Inverted Nipples vary in size and shape from person to person. However, in some cases they are inverted i.e. pulled inwards or tucked into the breast instead of being flat or sticking out. Although common, inverted nipples are rarely discussed, as this condition is often a source of embarrassment and self consciousness. Inverted nipples are often inverted to the same degree in both breasts. The condition is not that uncommon affecting about 2 to 10% percent of women.
 
Nipple Inversion may be:
  • Intermittent, in which case they are inwards but do protrude out on temperature changes, massage or stimulation.
  • True nipple inversion, which is present since birth
  • Nipple inversion following infection, injury or breast feeding
  • Nipple inversion as an early sign of breast cancer.
Grades of inverted nipples:
Grade I : Nipples come out occasionally without manipulation.

Grade II : Nipples require manipulation to evert them.

Grade III : nipples do not come out at all.
 
Candidacy:
  • Nipples that are very difficult or impossible to pull out
  • Nipples that do not stay out
  • Failure of conservative options
  • Flattened nipples
 
Procedure:
 
Treatment for inverted nipples depends on the severity. For instance, grade I nipples may be extracted using a plastic cup called a "nipple eversion device" that pulls the nipples outwards.  These devices are available in Baby stores in their breastfeeding section.

The majority of inverted nipples, however, are treated surgically. There are a variety of surgical techniques available, and the best one depends on your situation.
The surgical procedure includes the following aims:
1. Release of shortened ligament structures

2. Creation of a scaffolding to keep the nipple protruded.
 
  • Anesthesia: The patient can opt for local anesthesia, intravenous sedation and local anesthesia, or general anesthesia.
  • Duration of procedure: It takes upto 2 hours.
 
Inpatient/Outpatient Procedure:
 
It is an outpatient procedure that is the patient can go home the same day.
 
Recovery:
  • Back to Work: 1 to 2 days
  • Return to Exercise: 3 days (light exercise/work),
  • Strenuous activity/exercise : 2 weeks
Patients normally experience mild to moderate swelling which peaks two or three days after the procedure, and then disappears rapidly over the following three weeks.
 
Duration Of Result:
 
Permanent.
 
 
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