Inverted nipples are usually hereditary. It occurs when the ducts of the nipple are tethered as the breast enlarges. Although it is a benign condition, it can be a source of psychological stress for a lot of teens and young women.

Correcting an inverted nipple requires an incision at the base of the nipple to release the tight bands and ducts to allow the tip of the nipple to emerge. Because the procedure can interfere with the milk ducts at the surface, there is a small chance of being able to properly breastfeed later on. However, for many patients, this is an acceptable drawback with excellent satisfaction rates.

Schematic of inverted nipple correction.

Dr. Panossian performs inverted nipple correction, sometimes under local anesthesia. It is a same day procedure, and patients can return to school or work the following day. A cup-type dressing will be used with a stitch that keeps the nipple out to length during the healing period to avoid retraction. This will need to stay in place for several weeks.