Inverted Nipple Correction — Types A, B, C and Surgical Methods
Inverted nipple refers to a condition in which the nipple does not protrude and is instead pulled inward into the breast. Most cases are congenital, and the main cause is explained to be a band-like tissue beneath the nipple that pulls it inward. Acquired cases can also occur due to breast inflammation, trauma, or after breast reduction surgery.
Inverted nipples can be a cosmetic concern, but they can also make it difficult to keep the recessed area clean, creating hygiene challenges, and can affect breastfeeding after childbirth. This article summarizes the classification of inverted nipple types, the surgical methods, and the relationship with breastfeeding. You can find more about the surgeon on the About the Doctor page.
Is surgery always necessary for an inverted nipple?
First, physical therapy is attempted to allow the nipple to protrude naturally, and surgery is performed only if this method does not achieve correction. Even after surgery, it is advisable to continue some physical therapy as a supportive measure. While various surgical methods have been developed over the years, the recurrence rate after surgery tends to be relatively high, so it is important to adequately remove the firm band tissue that pulls on the nipple during surgery.
How do Type A, Type B, and Type C inverted nipples differ?
Type A is when the nipple protrudes in response to cold or stimulation; physical therapy is tried first for this type. Even when surgery is needed, it tends to be relatively simple, with little damage to the milk ducts, minimal scarring, and a relatively low chance of recurrence. Type B is when the nipple retains its shape but is buried; physical therapy is tried first, and surgery is considered if it is not effective. This type tends not to leave much scarring, and milk duct damage is generally reported at under 10%. Type C is when the nipple has no shape and is pulled inward by a firm band; a simple surgery can have a recurrence rate of over 50% for this type, so the incision site and surgical method differ from Type B. Even so, some risk of recurrence remains, and milk duct damage of about 30–40% is expected.
Is breastfeeding possible after inverted nipple surgery?
For women planning to breastfeed, it is important to choose a method that avoids damaging the mammary gland tissue as much as possible. Types A and B generally have little effect on breastfeeding after surgery, but more severe Type C carries a relatively higher risk of milk duct damage. However, if Type C is not corrected, hygiene issues may make breastfeeding itself difficult, so the decision on whether to have surgery is made by weighing both breastfeeding and cosmetic considerations together. Because the effect on breastfeeding varies by individual, please discuss this thoroughly with a specialist before surgery.
When is the best time to have surgery?
Without correction, breastfeeding can become difficult after childbirth, so it is generally recommended to have surgery well before pregnancy. The timing and method of surgery depend on the degree of inversion and the individual's plans, so an in-person examination is needed to confirm this.
How is recurrence managed after surgery?
Because inverted nipples can recur even after surgery, proper removal of the band tissue during surgery, along with proper aftercare, is important. After surgery, recurrence is managed by placing a cap over the nipple and using a rubber band to hold the nipple in a pulled-out position for about a week, and it is advisable to continue supportive physical therapy alongside this. Because the course of healing and the likelihood of recurrence vary by individual, if you have any questions, please reach out via Book a Consultation.
Consultation Information
Kim Jongseo Plastic Surgery (Apgujeong, Seoul) · 2F Apgujeong Building, 842 Nonhyeon-ro, Gangnam-gu, Seoul · 02-3416-0070 (after hours 070-4027-0070) · Book a Consultation
This article is provided for informational purposes only, and the effects and recovery period of any surgery or procedure may vary by individual. All medical procedures carry a possibility of side effects, so please consult thoroughly with a specialist.
Procedure Detail Materials
Below are procedure guide materials from the previous website (surgery.co.kr). Before-and-after results may vary by individual, and all medical procedures carry a possibility of side effects.
