Abnormalities of the nipple or tissue underlying it are very common and relatively straightforward to treat.  The most common condition is nipple inversion.

In this condition the nipple, instead of protruding, is held or pulled towards the inside of the breast.  This is caused by shortening of the ducts which come from the glandular tissue within the breast to emerge through to the nipple.

Nipple inversion can cause significant embarrassment and can occur on one or both sides.  Some patients find it difficult wearing clothes, particularly thin tops or swimwear, as the inversion may be visible.

Nipple inversion is usually classified into three types:

Grade 1: The nipple can be everted or manipulated into position and look normal.  After a variable period of time it reverts to its inverted position.

Grade 2:  The nipple can be everted and look normal if drawn out, However it immediately inverts when released.

Grade 3:  These nipples are so tethered to the underlying breast tissue that they can not be everted.

Correction of inverted nipples with minor surgery is surprisingly quick and simple. The procedure is performed under local anaesthetic and
takes approximately 15 minutes per side.

There is some mild discomfort associated with the injection of local anaesthetic which last for about 10 seconds – after this the procedure is painless.  (The discomfort from the injection can be minimised by the application of an anaesthetic cream before the operation which numbs the area.)

Nipple inversion correction surgery is performed by making a small incision in the lower outer border of the nipple.  Depending on the grade of inversion the ducts leading to the nipple are then either gently stretched or divided.

If the ducts are stretched they remain intact and breast feeding is usually possible following the operation.

Once released the nipple is held in an everted position with an absorbable stitch. This is placed internally and gradually dissolves on its own over time.

Following the procedure most people experience mild discomfort.  It is common to be able to return to work within 1-2 days.

The dressings are removed 5-7 days following the procedure and patients are encouraged to wear a soft padded bra for a further 2 weeks.