Inverted nipples


Last Updated December 20th, 2021

Understanding the nipple and its functions

Nipples are raised tissues present on the breasts. They are located in the center of a darkened area of the skin on the breast called the areola. The primary function of the nipple is to secrete milk in a process called lactation. Due to this reason, the nipples in males are considered to be vestigial.

Nipples are sensitive to touch and their stimulation leads to sexual arousal. Some women also reach orgasm when their nipples are stimulated. The stimulation of nipples also leads to the release of oxytocin, a hormone that plays a role in bonding.

Nipples come in many shapes and sizes. However, the following are considered the most common types of nipples

  • Protruding: These types of nipples are more slightly raised than the average nipple. Changes in temperature (cold) and stimulation can make the nipples even more raised.
    Flat: These nipples are at the same level as the areola. Flat nipples may or may not protrude in response to coldness or stimulation.
  • Puffy: In this type, the whole areola appears raised on top of the breast
  • Bumpy: Some women have small bumps on their areola. These look like whiteheads and are called Montgomery glands. All women have these glands but they are usually more noticeable during pregnancy. However, in some women, these glands always pronounced.
  • Hairy: All women have hair follicles in the areola. However, some women’s nipples have more hair than others.
  • Supernumerary: Some people have more than two nipples. They usually appear on the chest near the two normal nipples. These extra nipples do not cause any problems.
  • Inverted: These are nipples that are retracted. To know more about inverted nipples keep reading below.

What are inverted nipples?

This is a condition where the nipples turn inward into the breast instead of protruding. This condition can occur in one or both the breasts. Although it is more common in women, men can have it too.

Sometimes the nipples temporarily invert due to changes in the temperature or other factors. But in some people, the nipples permanently invert. This can happen due to a congenital condition or due to disease or trauma. In some cases, the nipples are inverted but become erect with stimulation. In other cases, the nipples cannot be made to protrude.

If you have had inverted nipples all your life, then it is usually harmless (although they make breastfeeding difficult). However, if you develop them after a certain age, it may be a sign of a more serious health concern.

Many babies, both males, and females are born with inverted nipples. However, as they grow older, the nipples start sticking out. In some children, the nipples only begin to protrude after puberty.

Difference between flat and inverted nipples

Flat nipples are those that are not raised or inverted. They usually appear evenly on the areola. Flat nipples also usually don’t respond to temperature or stimuli. However, flat nipples generally protrude during pregnancy. This is one of the main differences between flat and inverted nipples. Inverted nipples are also more difficult to protrude compared to flat nipples.

If you want to know whether you have a flat or an inverted nipple, you can find out by following these steps

  • Place your index finger and thumb on the edge of the areola
  • Apply gentle pressure
  • If your nipples protrude then you have flat nipples. If it retracts into the breast then you have inverted nipples.

Are inverted nipples a sign of cancer?

If you are born with inverted nipples then there is nothing to be worried about as that is not a sign of cancer. Sometimes nipple inversion also happens as you grow older. However, if you suddenly notice an inverted nipple it may be due to cancer. In order to confirm you can look for the following signs

  • A lump in the breast
  • Changes in size or appearance of the breast
  • Changes on the skin of the breast
  • Peeling or scaling on the areola.

Causes

An inverted nipple may result due to several reasons ranging from a congenital condition to a trauma. Here are some of the reasons that may cause this condition.

  • Genes: Inverted nipples are often genetic and it is caused due to a thickened, short or underdeveloped lactiferous duct, which connects the breast gland to the nipple. When these ducts are short and thick, they cause the nipples to retract inwards.
  • Injury: If you have injured your breast, you may develop inverted nipples.

Paget’s disease of the breast: This is a rare form of breast cancer that affects the nipple and areola. You may also experience the following symptoms if you are suffering from this disease:

  • Dryness in the breast
  • Flaky skin
  • Itching
  • Redness

Breast cancer: Nipple retraction can also happen due to a common type of breast cancer known as Nipple retraction may occur when the tumor is large enough to be seen on a mammogram.

  • Aging: Nipple inversion may also be due to aging. Retractions can slowly appear as you gradually grow old.

Grades of nipple inversions

Inverted nipples are graded by doctors into three levels:

  • Grade 1: In this grade, the nipples automatically protrude when the person feels cold or is sexually aroused. They can also be pulled out manually.
  • Grade 2: Nipples falling in this grade do not protrude when the person feels cold or is sexually aroused. They can be pulled out manually but not as easily as grade 1 nipples. They also invert very quickly when pulled out manually.
  • Grade 3: Nipples in this grade do not protrude in response to any stimuli. They are also very difficult to pull out manually.

Know your grade of nipple inversion

Many people are unaware of the grade of their nipple inversion. You can determine that by following the steps below:

  • Stand in front of a mirror and apply ice on your nipple. If it comes out, it means you have a grade 1 inversion.
  • If it doesn’t protrude, try to manually take out the nipple. If it comes out but retracts quickly then you have a grade 2 inversion. If you are unable to bring it out, you have a grade 3 inversion.

You may have different inversion grades in each nipple

Can people with nipple inversions breastfeed?

People with inverted nipples often find it difficult to breastfeed as the baby is unable to properly latch on to the nipple.

However, there are certain devices or methods you can use to help you bring the nipple out. These are

  • Hoffman technique: This involves the manual stimulation of the nipples to help it protrude
  • Nipple shields: They are flexible silicone nipples that are worn over the actual nipple. It helps the baby latch on better.
  • Breast shields: These are devices that put pressure on the breasts to help the nipples protrude.

Treatment

If you want a temporary solution for inverted nipples, you can do the following things

Hoffman technique

Introduced by Dr. J Brooks Hoffman, this technique is a manual exercise that helps treat inverted nipples. This technique involves the following steps

  • Place your thumbs on either side of the nipple (at the base of the nipple and not the areola)
  • After that apply gentle but firm pressure to the nipples
  • While pressing, pull your thumb away from each other
  • Repeat the first three steps while moving the nipple upward and downward and then sideways

At first, this method should be done twice a day. After that, you can do it five times a day. If you practice this exercise regularly, your nipples will start protruding more often. However, as every person has different types of nipples, it may not work for everybody.

Suction devices

These devices (aka nipple retractors, nipple extractors, shells and cups) reverse inverted nipples with the help of suction. These are usually worn under the bra for extended periods of time.  These devices work by pulling the nipple into a small cup through gentle suction. When used regularly over long periods, the nipple remains erect longer as nipple tissue loosens.

Nipple piercing

Many people get nipple piercings to correct inverted nipples. The stud or jewelry worn in the piercing does not allow the nipple to retract. However, once the stud is removed, the nipple is likely to retract and due to this reason, piercing is also considered to be a temporary solution.  Be careful to visit a good piercing studio if you’re planning to get your nipples pierced. Unsterilized needles or piercing guns may cause infection and leave to sepsis.

Surgery

The only way to permanently treat a retracted nipple is via surgery. There are two types of procedures available:

Parachute flap technique:

In this procedure, the milk ducts are partially preserved. This means that women undergoing this procedure will be able to lactate if they do decide to have a baby in the future. The nipple sensation after doing this procedure will also remain the same.

This procedure is carried out in the following steps

  • The patient is given local anesthesia and after a while, the surgeon will make an incision around the base of the nipple.
  • The nipple and the areola are then both lifted and sewn into a more protruding angle.
  • The incision is then closed with stitches.

Surgery with detached milk ducts:

This procedure, as the name suggests, involves the removal of the whole milk duct. As a result, women who undergo this procedure cannot breastfeed in the future. This is done in the following steps:

  • The patient is given local anesthesia and after a while, the surgeon will make an incision around the base of the nipple.
  • The milk ducts are then removed and this makes the nipples naturally protrude.
  • The incision is then closed with stitches.

Facts

  • During the 19th century, a woman’s health was diagnosed by examining her nipples.
  • Some women have 2 nipples in one breast
  • Nipple pain is common in women

Facts

  • Nipples change in size especially during pregnancy
  • Discharge from the nipple may be a sign of health problems
  • There is a rare condition that causes a person to be born without nipples

Facts

  • Nipples are prone to chafe and cracks
  • Nipple stimulation can enhance sexual arousal
  • Nipples can change color
  • You can have goosebumps on in the nipples

Related Conditions

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Dos and Don'ts

Dos
  • You should try using natural techniques before considering surgery for nipple inversions
  • You should use the Hoffman technique regularly if you have grade 1 inversions
  • You should consult the doctor if your nipple suddenly retracts
Don'ts
  • Panic if you have inverted nipples as it most cases its harmless
  • Consider undergoing the surgery with detached milk ducts if you’re planning on getting pregnant
  • Lose heart if you have retracted nipples as it is more common than you think

 

 

 

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Goji berry: A traditional Chinese berry that packs the best of antioxidants Goji berry is an ancient berry that is considered to be power-packed with nutrients and antioxidants. Which means…
Vagus nerve: 7 health benefits of stimulating the “gut-brain” connection As a matter of fact, there are two vagus nerves namely the left and the right but is…
Appendix pain: Recent findings on this not-so vestigial organ The exact function of the appendix is still not clear. Some consider it as an organ that once…
Inhale oxygen, exhale worries: The top breathing exercises and how to perform them Performing the breathing exercise is like becoming mindful of how you breathe.  Here is a list of breathing…
EEG
Electroencephalogram – EEG EEG or electroencephalogram is a diagnostic tool used to access the functioning of neurons and brain activity to…
BoneMarrow-Biopsy
Bone Marrow Biopsy Bone marrow biopsy is a diagnostic procedure where a small amount of bone marrow is extracted from hip…
liver biopsy procedure
Liver Biopsy Liver biopsy or hepatic biopsy is a diagnostic tool that collects a sample of live tissue from the…
malarial antigen test
Malaria Antigen Test A malaria antigen test is a rapid diagnostic test (RDT) that can detect malarial antigens (proteins) in your…
ureteroscopy
Ureteroscopy Ureteroscopy is the diagnostic procedure which is used for the detection of the kidney stones in addition to…
BULIMIA NERVOSA vomiting
Can you get addicted to food? Learn everything about food addiction What is food addiction? How can people get addicted to eating? Is it an unhealthy eating habit or…
Dr. Gundry's diet
Dr. Gundry’s diet: A new concept in dieting American physician Dr. Steven Gundry created the "Plant Paradox" program based on a lectin-free diet to improve the…
eating disorder anorexia
Eating Disorders: Lifestyle choice or a psychological condition? Is eating disorder just a harmless bad habit? Or does it represent grim psychological disorders? Do you want…
oral hygiene tips
6 shocking consequences of bad oral hygiene (and how to avoid them) Did you know bad breath is not just turning off, but also harms your body in ways you…
Is it possible to achieve full body detox with Master Cleanse? Master cleanse is a diet consisting of a lemonade based beverage, a salt water drink and a herbal…
Kava: Is it the healthy substitute for alcohol you have been waiting for? Native to the beautiful South Pacific islands, Kava is a famous beverage rooted in the local culture. It…
Plexus Slim: Is this pink slimming drink the ultimate one-stop fat burner? How effective is Plexus Slim in helping people lose weight? What are its ingredients? Can it be safely…
Coffee Enema: Turn your favorite morning beverage into a powerful colon cleanser The wonders of coffee are not just limited to waking you up every morning. You can now use…
Vitamin b12
Vitamin B12 Test Vitamin b12 is an essential nutrient required for healthy functioning of the nervous system and also development of…
ANTIPHOSPHOLIPIDANTIBODY(APL)_IgG
Antiphospholipid (APL) antibody-IgG The Antiphospholipid Antibody testing is a blood test used to determine an autoimmune disorder called Antiphospholipid syndrome linked…
phenytoin test
Phenytoin test Phenytoin is a drug that is administered mainly to epilepsy patients. The phenytoin blood test measures the level…
carbamazepine
Carbamazepine / Tegretol test The carbamazepine is a drug that is used to treat epilepsy and the carbamazepine test is performed to…
cardioliin antibody iga
Cardiolipin Antibody (ACL) – IgA test Cardiolipins are phospholipids that are constituents of the platelets and the cell membranes. The IgA test detects the…
apolipoprotein a1 test
Apolipoprotein -A1 (APO-A1) Test Apolipoprotein A-I (Apo-A1) constitutes 70% of protein content in high-density lipoprotein (HDL) and helps in lipid metabolism.
antiHEV IgM test
Anti hepatitis E virus (Anti HEV) IgM Test Anti HEV IgM test determines the level of the IgM antibodies in the blood, The disease is often…
nature health benefits
Green Healing: The amazing health benefits of being in nature You have no idea what sitting in a closed room does to your body and mind.Can a stroll…
hidden benefits walking
9 benefits of walking we bet you didn’t know! Did you know walking can be the miracle pill for eternal youth? Everyone knows walking is good for…
fitness routine fun
10 fantastic ways to make your fitness routine more fun! Are you too bored to exercise? Do you avoid gym cause it's too monotonous? Looking for fun and…
stress adverse effects
Fight, flight, or freeze: 8 ways stress can ruin your body Did you know that stress is in-built in our systems? It helped our ancestors respond to danger. How…