Inverted Nipple Surgery Melbourne

Benefits of Inverted Nipple Surgery

Inverted nipple surgery offers a safe and effective solution for individuals experiencing cosmetic concerns, breastfeeding difficulties, hygiene issues, or progressive worsening of nipple inversion. By releasing the tight tissue and adhesions pulling the nipple inward, the procedure restores a natural, outward projection and enhances both function and aesthetics. This surgery can also be considered a form of nipple enhancement, improving both the appearance and function of the nipples.

1) Improved Nipple Appearance & Confidence

• Many individuals dislike the appearance of their inverted nipples, especially in intimate situations or when wearing fitted clothing.
• Nipple inversion can contribute to breast asymmetry, affecting how clothing and swimwear fit.
• Surgery restores a more natural breast and nipple profile, improving the appearance.

2) Restored Breastfeeding Function (If Duct-Sparing Technique is Used)

• Nipple inversion can interfere with breastfeeding, making it difficult for babies to latch and restricting milk flow.
• Surgery can release the nipple while preserving milk ducts, improving the ability to breastfeed effectively.
• The duct-sparing technique is ideal for women who plan to have children and want to maintain lactation function.

3) Better Hygiene & Reduced Risk of Infections

• Deeply inverted nipples can trap moisture, sweat, and bacteria, increasing the risk of skin irritation, fungal infections, and chronic inflammation.
• Some individuals experience ongoing discomfort, itching, or sensitivity due to difficulty in cleaning the area properly.
• Surgery exposes the nipple, making hygiene maintenance easier and preventing recurrent infections.

4) Prevention of Progressive Nipple Retraction

• Without treatment, moderate nipple inversion (Grade 2) can worsen over time, eventually becoming severe (Grade 3), where the nipple remains permanently retracted.
• Fibrotic tissue may become more rigid, making future surgery more complex.
• Early intervention can prevent worsening symptoms and allow for a simpler, more effective surgical intervention.

5) Permanent & Reliable Correction of Nipple Inversion

• The surgery releases constricted ducts and tight fibrous bands, allowing the nipple to protrude naturally.
• Sutures or internal support techniques ensure the nipple remains permanently in an outward position, preventing retraction.
• Surgical intervention is the only proven long-term solution for moderate to severe (Grade 2 & 3) nipple inversion.

Is Inverted Nipple Surgery Right for You?

If you are experiencing discomfort, breastfeeding difficulties, hygiene issues or have a dislike for your inverted nipple appearance, surgery may be the best long-term solution. The procedure is quick, minimally invasive, and highly effective, with most patients returning to normal activities within days.

What is Inverted Nipple Surgery?

Inverted Nipple Surgery is a cosmetic and functional procedure designed to release tightened milk ducts and fibrous tissue that prevent the nipple from protruding outward. This surgery is commonly performed for individuals with moderate to severe nipple inversion (Grades 2 and 3) or for those with mild inversion (Grade 1) seeking a permanent intervention. Inverted nipple correction surgery is a type of cosmetic surgery aimed at improving both the appearance and function of the nipples.

How Does Inverted Nipple Surgery Work?

The surgical procedure works by releasing the internal adhesions, tight connective tissue, and shortened milk ducts that are pulling the nipple inward. A small incision is made at the base of the nipple, allowing the surgeon to free the nipple and position it permanently outward.

The approach used will depend on the severity of the nipple inversion:

• Mild cases (Grade 1) may only require stretching and loosening of tissue while keeping the milk ducts intact.
• Moderate to severe cases (Grade 2 & 3) require cutting the tight milk ducts and fibrous bands, ensuring the nipple remains fully projected.

Once the nipple is released, it is secured in its new position using internal sutures or tissue flaps, which support the projection and prevent retraction. The incision is then closed with fine sutures, leaving minimal scarring.

Are there different types of Inverted Nipple Surgery?

There are two primary types of surgical procedures for inverted nipple correction Surgery, classified based on whether the milk ducts are preserved or severed. The choice of technique depends on the severity of the inversion and whether the patient wishes to maintain breastfeeding ability.

Depending on the severity of the condition and the patient’s breastfeeding goals, the surgeon may use one of two techniques:

1. Milk Duct-Sparing Surgery – For patients who want to preserve breastfeeding ability.
2. Milk Duct-Dividing Surgery – For patients with moderate to severe inversion, where full intervention requires cutting the retracted ducts.

How Long Does the Procedure Take?

• The surgery typically takes 45 minutes to 1 hour, depending on the technique used and the degree of inversion.
• It is usually performed under local anesthesia with sedation, but general anesthesia may be an option for patients undergoing additional procedures.
• In most cases, patients return home the same day, with only minor discomfort and swelling in the days following surgery.

What Causes Inverted Nipples?

Inverted nipples can result from congenital factors (present at birth) or acquired factors (developing later in life). The underlying cause is typically related to shortened milk ducts, tight connective tissue, or fibrous adhesions that pull the nipple inward rather than allowing it to project outward.

Flat nipples can be a common variant of nipple shape and may or may not present challenges for breastfeeding.

Congenital Causes which are present from birth include:

• Underdeveloped Milk Ducts & Connective Tissue:
  Some individuals are born with naturally shortened or tight ducts, which prevent the nipple from fully extending outward.
• Genetic Predisposition:
  If a parent has inverted nipples, it is more likely to be passed down through familial traits.

Acquired causes which are developed later in life include:

• Breastfeeding & Repeated Suction Trauma:
  Breastfeeding may cause scarring or tightening of milk ducts, leading to progressive nipple inversion over time.
• Hormonal Changes & Aging:
  As the skin and connective tissue lose elasticity, the nipple may retract inward, particularly after menopause.
• Breast Infections & Abscesses:
  Infections within the breast tissue can cause inflammation and fibrosis, pulling the nipple inward.
• Scarring from Breast Surgery or Trauma:
  Previous breast augmentation, reduction, or lumpectomy procedures may lead to internal scarring, restricting nipple movement.
• Underlying Medical Conditions (Rare Cases):
  In rare cases, sudden nipple inversion in one breast may indicate an underlying breast mass, tumor, or fibrosis, requiring medical evaluation. Sudden changes in nipple appearance, such as inversion, can sometimes be a sign of breast cancer and should be evaluated by a healthcare provider.

How Common Are Inverted Nipples?

Flat or inverted nipples are relatively common, affecting both men and women. Studies suggest that 10-20% of women and a smaller percentage of men have some degree of nipple inversion. However, many people with mild nipple inversion may not even realise they have the condition until breastfeeding difficulties or aesthetic concerns arise.

• Women
  Nipple inversion is more frequently observed in women, often due to hormonal changes, breastfeeding trauma, or structural factors related to breast development. Many women first notice nipple inversion during pregnancy or postpartum, as changes in breast tissue can alter nipple positioning.
• Men
  Although less common, men can also experience nipple inversion, typically due to genetic factors, hormonal imbalances, or changes in breast tissue elasticity.

  For men dealing with gynecomastia or enlarged male breasts, see the gynecomastia surgery page.

Is Nipple Inversion Always a Medical Concern?

For most individuals, nipple inversion is harmless and does not indicate a medical issue. However, sudden nipple inversion in adulthood — particularly if it occurs in only one breast — could be a sign of underlying medical conditions, including:

• Breast infections or abscesses causing retraction of breast tissue.
• Scarring from previous breast surgery or trauma.
• Hormonal changes affecting tissue elasticity.
• Rarely, underlying breast conditions such as tumors or fibrosis.

If nipple inversion develops suddenly, is accompanied by pain, discharge, or skin changes, or occurs only in one breast, it is important to seek medical evaluation to rule out any underlying conditions.

Grades of Nipple Inversion (Severity Classification)

The severity of nipple inversion is classified into three grades based on the nipple’s ability to protrude and whether it can be corrected manually or through stimulation.

Grade 1 (Mild Inversion)

• The nipple remains inverted at rest but protrudes naturally with stimulation, cold temperatures, or light suction.
• There is no tight fibrosis restricting the nipple’s movement, making it the most responsive to non-surgical treatments like nipple suction devices or massage.
• Often purely cosmetic and does not usually interfere with breastfeeding or nipple function.

Grade 2 (Moderate Inversion)

• The nipple is inverted most of the time and requires external stimulation (manual pulling or suction) to temporarily protrude.
• Some internal adhesions and mild fibrosis are present, restricting normal nipple projection.
• Breastfeeding may be more difficult, but some individuals can still breastfeed with assistance from nipple shields or pumps.
• Surgical intervention may be needed for long-term correction, particularly if the inversion affects function or confidence.

Grade 3 (Severe Inversion)

• The nipple remains completely retracted at all times and does not respond to suction, stimulation, or cold exposure.
• Significant fibrotic tissue, shortened ducts, and surrounding breast tissue prevent the nipple from protruding, making non-surgical methods ineffective.
• Breastfeeding is often impossible, as milk cannot flow properly through the compressed ducts.
• Surgical intervention is required to release the nipple and allow outward projection.

What Grade Inversion Requires Treatment?

While mild (Grade 1) inversion is usually aesthetic and not medically concerning, moderate to severe (Grade 2 & 3) inversion may require treatment if:

• You experience breastfeeding difficulties due to restricted nipple movement.
• The nipple inversion is asymmetrical, worsening over time or suddenly occurring in adulthood.
• You feel self-conscious about your nipple appearance and seek correction for cosmetic reasons.
• You experience pain, irritation, or frequent infections due to trapped moisture and bacteria within the nipple folds.

1) Milk Duct-Sparing Nipple Surgery

This technique is best suited for women with mild (Grade 1) nipple inversion who want to preserve their ability to breastfeed. Instead of cutting the milk ducts, they are gently stretched to allow the nipple to protrude.

This procedure involves:

• A small incision is made at the base of the nipple or lower border of the areola.
• The surgeon loosens tight fibrous tissue while stretching the milk ducts without cutting them.
• The nipple is brought outward and secured using dermal flap techniques and vertical sutures to prevent retraction.
• The incision is closed with fine sutures, ensuring minimal scarring and a natural appearance.

Consulting a specialist plastic surgeon is crucial for achieving the best results with the milk duct-sparing technique.

When is Milk Duct-Sparing Nipple Surgery Right for You?

This technique is ideal for individuals who:

• Have mild (Grade 1) nipple inversion where the nipple still responds to stimulation.
• Want to preserve their ability to breastfeed in the future.
• Prefer a minimally invasive approach with a faster recovery time.
• Have realistic expectations, understanding that mild recurrence is possible over time.

Milk duct-sparing nipple correction surgery may not be suitable if:

• You have moderate to severe (Grade 2 or 3) nipple inversion, where the ducts are too tight to be stretched.
• You want a guaranteed permanent correction, as some mild retraction can occur over time.

2) Milk Duct-Dividing Nipple Surgery

This technique is used for moderate to severe (Grade 2 & 3) nipple inversion, where the milk ducts are too tight to be stretched and must be cut to achieve a full correction.

This procedure involves:

• A small incision is made at the bottom of the areola.
• The surgeon cuts the retracted milk ducts and fibrous tissue pulling the nipple inward.
• The nipple is brought outward and stabilised using vertical and horizontal suturing techniques.
• The incision is closed with fine sutures, ensuring a smooth, natural appearance.

A plastic surgeon with experience in nipple correction is essential for performing the milk duct-dividing technique effectively.

When is Milk Duct-Dividing Nipple Surgery Right for You?

This technique is recommended for individuals who:

• Have moderate to severe (Grade 2 or 3) nipple inversion, where the nipple remains fully retracted.
• Want a permanent correction, ensuring that the nipple will not retract again.
• Are not concerned about breastfeeding, as this procedure severs the milk ducts.
• Want to correct significant asymmetry or discomfort associated with tight nipple retraction.

Milk duct-dividing nipple correction surgery may not be suitable if:

• You want to breastfeed in the future, as the milk ducts will be completely severed.
• You prefer a less invasive approach, as this method requires cutting fibrous tissue and ducts.

Who is a Candidate for Inverted Nipple Surgery?

Inverted nipple surgery is suitable for individuals who experience persistent nipple inversion and wish to restore natural nipple projection for aesthetic or functional reasons. The best candidates for the procedure include those who:

• Have moderate to severe nipple inversion (Grade 2 or 3) that does not respond to stimulation or suction.
• Experience breastfeeding difficulties due to restricted nipple protrusion, leading to poor latch or milk flow.
• Feel self-conscious about the appearance of inverted nipples and want to improve breast symmetry.
• Suffer from hygiene concerns, including moisture buildup, irritation, or frequent nipple infections.
• Have progressive worsening of nipple inversion, where the condition has deteriorated over time.
• Are in good overall health and have realistic expectations about the procedure and its results.

Plastic surgeons play a crucial role in assessing candidates and performing the surgery to ensure optimal results.

Breastfeeding Considerations for Candidates

Women considering surgery should discuss their breastfeeding goals with their surgeon, as the chosen technique may impact lactation.

• Mild cases (Grade 1): Some women can still breastfeed naturally, but pre-birth preparation using nipple shields or breast pumps may help train the nipple to protrude.
• Moderate to severe cases (Grade 2 & 3): Surgery often requires cutting the milk ducts, making breastfeeding unlikely after the procedure.
• Post-surgical breastfeeding outcomes: If a milk duct-sparing technique is used, breastfeeding may still be possible, though results vary by individual.

Women who plan to have children should consider waiting or opting for a technique that preserves the milk ducts when possible. Your surgeon will provide guidance on the best approach based on your breastfeeding goals and the severity of the inversion.

Recovery After Inverted Nipple Surgery

Recovery from inverted nipple correction surgery is quick and minimally invasive, with most patients returning to daily activities within a week. The focus during recovery is to protect the newly projected nipple and support proper healing.

What to Expect After Surgery

• Mild swelling, bruising, and tenderness around the nipple (subsides within 5-7 days).
• Temporary numbness or tingling (improves over a few weeks).
• A protective dressing or nipple shield may be used to maintain nipple projection.
• Minimal discomfort can be managed with over-the-counter pain relief.

Recovery Timeline for Inverted Nipple Surgery

Days 1-3:

• Keep surgical dressings in place and avoid touching or applying pressure to the nipples.
• Use cold compresses intermittently to reduce swelling.

Week 1:

• Swelling and discomfort ease; light activities can be resumed.
• Avoid sleeping on your chest and wear loose clothing to prevent irritation.

Weeks 2-3:

• Most swelling subsides, and the nipple projection stabilises.
• If non-resorbable sutures were used, they will be removed by your surgeon.
• Gentle cleaning of the area helps prevent infection.

Month 3+:

• The final results are visible, with nipples maintaining their new shape.
• Any residual scarring continues to fade over the next 6-12 months.

Post Operative Care Tips for Best Results

• Wear soft, non-restrictive clothing to avoid friction.
• Avoid smoking & vaping, as they can slow healing.
• Follow your surgeon’s aftercare instructions for scar minimisation.
• Limit direct nipple stimulation or pressure for at least a month to prevent retraction.

Most patients resume normal activities within a few days and experience fully healed, stable results within 3-6 months.

For more information and tips for post-surgery, visit Me Clinic’s recovery after surgery page.

Results of Inverted Nipple Surgery

The results of inverted nipple surgery are long-lasting, with most patients achieving permanent outward nipple projection. However, the final outcome depends on the severity of inversion, the surgical technique used, and individual healing factors.

• Immediate results – The nipple appears projected right after surgery, but initial swelling may make it look slightly fuller.
• Final results – Once healing is complete, the nipple’s shape and projection stabilise, typically within 3-6 months.
• Scarring – Incisions are small and discreetly placed at the base of the nipple or along the areola, fading significantly over several months. Patients can use scar-reducing treatments to minimise visibility.
• Nipple Sensation – Some patients may experience temporary numbness, but most regain normal sensation within a few months.

For Grade 2 & 3 cases, the milk duct-dividing technique provides a permanent intervention, ensuring the nipple remains projected. In Grade 1 cases, where the milk duct-sparing technique is used, mild retraction may occur over time, though most patients retain good projection.

Choosing the Right Plastic Surgeon for Inverted Nipple Surgery

Selecting the right plastic surgeon is essential for achieving safe, effective, and natural-looking results. When choosing a surgeon for inverted nipple correction, consider the following:

• Expertise & Experience: Look for a plastic surgeon with specialised experience in breast and nipple procedures.
• Personalised Approach: Your surgeon should assess your specific case and tailor the procedure to your needs.
• Safety & Accreditation: Ensure the clinic follows strict safety protocols and is accredited by relevant medical boards.
• Post-Surgery Support: A good surgeon provides clear aftercare instructions and ongoing support for optimal healing.

Why Choose Me Clinic for Your Inverted Nipple Surgery?

At Me Clinic, we combine surgical expertise with a patient-first approach to deliver outstanding results for inverted nipple correction. Here’s why patients choose us:

• Our specialist plastic surgeons have extensive experience in nipple correction procedures.
• We offer a customised treatment plan tailored to your specific anatomy and goals.
• Our clinic prioritises safety, comfort, and natural-looking results.
• We provide comprehensive post-surgery support to ensure a smooth recovery and long-lasting outcomes.

Book a Consultation with a Me Clinic Specialist Plastic Surgeon

Taking the first step towards correcting inverted nipples can be a significant decision. Booking a consultation at Me Clinic gives you access to experienced plastic surgeons who understand the importance of precision and patient care.

During your consultation, you can learn more about the procedure, discuss your specific concerns, and receive a tailored approach that fits your needs and recovery timeline.

Get in contact with Me Clinic today to book a consultation and assessment via our contact form.
Or alternatively, you can contact Me Clinic in the following ways:

• Phone Me Clinic at 1300 852 050
• Get an online consultation assessment

Further reading of related breast surgery

• For patients who also want an increase in breast volume, see Breast Augmentation page.
• Visit the Breast Lift page if your breasts suffer from ptosis (sagging).
• For males who suffer from enlarged male breasts or gynecomastia, see the Male Breast Surgery page.
• For all other breast procedures, see the Breast Surgery page.

Medical references about inverted nipple repair

• Cleveland Clinic: Flat and Inverted Nipples
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• Mangialardi, M. L., Baldelli, I., Salgarello, M., & Raposio, E. (2020). Surgical Correction of Inverted Nipples. Plastic and reconstructive surgery. Global open, 8(7), e2971.
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