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This article was co-written by Chris M. Matsko, MD. Dr. Matsko is a retired physician with offices in Pittsburgh, Pennsylvania. He was awarded the University of Pittsburgh Cornell’s Distinguished Leadership Award. He received his PhD from Temple University School of Medicine in 2007. He holds a Research Diploma from AMWA in 2016 and a Medical Content Writing & Editorial Certificate from the University of Chicago in 2017.
There are 14 references cited in this article that you can view at the bottom of the page.
This article has been viewed 69,517 times.
Inverted nipples, or nipples that recede inside the breast, can occur in both men and women. This condition can be present at birth or during development. If you didn’t have inverted nipples as a child or during puberty, you should talk to a health care professional. People over the age of 50 with inverted nipples should be screened for breast cancer. For most sufferers, inverted nipples can be cosmetically invasive, or more serious, make breastfeeding difficult. Fortunately, there are many ways to change this situation from manual to plastic surgery.
Steps
Plan
- Level 1: The nipple protrudes easily when you gently press the areola area. When the hand is released, the nipple still maintains the ability to protrude, not immediately retract. At this level, you can still breastfeed, even if your breasts don’t look aesthetically pleasing. Your breasts have little or no cystic fibrosis (excess connective tissue) in grade 1.
- Level 2: The nipple is still protruding when you press it but not very easily, and it is easy to fall back right after. Stage 2 pacifiers make breastfeeding difficult. You may have a small amount of cystic fibrosis and the milk ducts are also inverted.
- Grade 3: The nipple is completely inverted and unresponsive to impacts and cannot be pulled out. This is the most severe level because the breasts will have a lot of cystic fibrosis and the milk ducts will be indented a lot. You may have redness or infection at this level and not be able to breastfeed. [2] X Trusted Source PubMed Central Go to Source
- Check both breasts, as sometimes only one nipple is inverted.
- If you are over 50 and your areola becomes deformed and your nipples don’t protrude or retract, you should see a breast cancer doctor right away.
- Women over the age of 50 are at increased risk for Paget’s disease of the nipple.
- A pink or scaly discharge from the nipple or areola, thickening or peeling of the skin can also be a sign of breast cancer. [4] X Trusted Source Mayo Clinic Go to Source
- See your doctor if the nipple discharge is milky, bluish, or black. Tightness, redness, or thickening around the nipple can be a sign of ductal dilatation.
- Postmenopausal women are at a very high risk of breast enlargement.
- If you have lumps that ooze pus when pressed or scratched, and have a fever, you may have an infection called breast abscess.
- Most nipple infections occur during breastfeeding, but breast abscesses occur in women who are not breastfeeding.
- If your nipples are indented after your piercing, have your doctor check you for a breast abscess. [5] X Research Sources
- If your indentation is in grade 1, manual application will make the cystic fibrosis disappear and the nipple protrude more easily.
- If you are in stage 2 or 3, consult your doctor about the right course of treatment for you. In some cases, non-invasive methods will be suitable for some cases, but sometimes surgery is the best solution.
- If you are pregnant or nursing, consult your doctor or lactation consultant.
Manual treatment
- Do it twice daily at the beginning and gradually increase to five reps.
- This will dissolve the lumps that cause your nipples to recede. [7] X Research Sources
Use supporting products
- Place the protector on your chest and position your nipple in the small hole.
- Wear a protective pad under your t-shirt, bra or bra. Wear an extra shirt if you want to cover this piece completely.
- If you are going to breastfeed, put on this protector 30 minutes in advance. [10] X Research Source
- The protector will apply gentle pressure on the nipple to keep it protruding. Both men and women can use this product to treat inverted nipples.
- Protective pads can also stimulate lactation in lactating women. Mothers should not wear this patch continuously for many days. Please clean with hot water and soap after breastfeeding to wash off any milk on the protector. [11] X Research Source
- Monitor your breasts while using the condom, as it may cause a rash. [12] X Research Source
- Place the breast pump on the breast, then adjust the nipple to the center of the hole. Breast pumps come in many sizes, so you should choose the size that best suits your breasts.
- Place the breast pump on your breast, so it fits snugly against your skin.
- Hold the machine with one hand and turn on the pumping mode.
- Pump as much milk as you feel most comfortable with.
- Turn off the machine by holding both sides of the cup with one hand and use the other hand to turn it off. [13] X Research Source
- If you’re breastfeeding, breastfeed when the nipples are exposed.
- Do not pump too hard if you are nursing your baby as this will cause the nipples to bleed.
- There are many types of breast pumps on the market. High-end electric breast pumps like those used in maternity hospitals will help you pull out your nipples without damaging the surrounding tissue.
- There are many manufacturers that make breast pumps. Please consult your nurse or lactation consultant to choose and use the machine effectively.
- Use clean, sharp scissors to cut the syringe right off the “0ml” line. (The side opposite the plunger.)
- Remove the plunger and reattach at the end you just cut off and push the plunger inside the cylinder.
- Apply the uncut tip to the nipple and pull out the plunger so that the nipple is exposed.
- Do not pull harder than you can bear.
- Before removing, push the plunger slightly inward to make it easier to remove.
- Once done, disassemble each part and wash with hot soapy water.
- If you want, you can use Evert-It, which is a medical device that is similar in construction and operation to the syringe described above.
- Apply a small amount of balm to the nipple, areola and machine.
- Attach the cylinder to the open end of the valve and push hard.
- Apply the pump to the nipple with one hand and pull the cylinder with the other hand to create suction. Don’t pull too hard as you may get hurt!
- Once the nipple has protruded, remove the Niplette.
- Hold the valve part firmly and carefully remove the cylinder from the valve. Take care when doing so to avoid air entering the tube and causing the cylinder to fall out.
- Place the Niplette under the mantle. If you’re wearing a tight top, you can hide the Niplette with a tailored hood.
- Remove the Niplette by pushing the cylinder against the valve to break the vacuum
- Start wearing Niplette for about an hour a day. Then slowly increase it by one hour per day and keep increasing until you reach eight hours daily.
- Niplette should not be worn day or night!
- Within three weeks, as a result, the nipple will protrude as usual. [14] X Research Source
- Align the cup to the nipple and squeeze the bottom of the cup, while gently pressing the cup against your nipple. This will apply gentle pressure to pull the nipple in the direction of the cup.
- If you want the cup to fit better, apply a small amount of cracking cream – like USP – on the nipple or inside the cup. If this does not improve the situation, you should try a different size cup.
- New users usually wear the cup for 15 minutes the first day. If they have no pain or discomfort, gradually increase the time to four hours per day during the first week of use.
- Many people can wear a flexible cup under their bra without shifting the cup or feeling uncomfortable. In addition, you can share a breast protector with a flexible cup to prevent the cup from flattening or falling off the nipple due to a bra that is too tight, or a bra that is too tight.
Medical method
- This is a short-term outpatient surgery that involves local anesthesia. You can go home the same day and return to your normal routine the next day.
- You should discuss with your surgeon the progress of the surgery as well as the procedures and expected results after surgery.
- Your surgeon will review your medical history and evaluate the causes of your condition.
- If you must wear a bandage after surgery, change it exactly as directed by your doctor.
Advice
- Some nipple guards come in two sizes of holes: a larger hole to protect sore and sensitive nipples, and a smaller hole for inverted nipples. You will need one with a smaller hole. [16] X Research Source
- Follow-up with your primary care physician, obstetrician/gynecologist or lactation consultant.
Warning
- Some breast support products are not recommended for use during pregnancy. If you are pregnant, consult a medical professional or lactation consultant before attempting to adjust your nipples.
This article was co-written by Chris M. Matsko, MD. Dr. Matsko is a retired physician with offices in Pittsburgh, Pennsylvania. He was awarded the University of Pittsburgh Cornell’s Distinguished Leadership Award. He received his PhD from Temple University School of Medicine in 2007. He holds a Research Diploma from AMWA in 2016 and a Medical Content Writing & Editorial Certificate from the University of Chicago in 2017.
There are 14 references cited in this article that you can view at the bottom of the page.
This article has been viewed 69,517 times.
Inverted nipples, or nipples that recede inside the breast, can occur in both men and women. This condition can be present at birth or during development. If you didn’t have inverted nipples as a child or during puberty, you should talk to a health care professional. People over the age of 50 with inverted nipples should be screened for breast cancer. For most sufferers, inverted nipples can be cosmetically invasive, or more serious, make breastfeeding difficult. Fortunately, there are many ways to change this situation from manual to plastic surgery.
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