Breast nipple inversion is a common yet little discussed problem. Some nipples are constantly inverted, others only intermitantly invert. Usually one nipple is more inverted than the other. Inverted nipples are caused by shorten milk ducts pulling the skin over the nipple inward.
An inverted nipple correction procedure can correct the nipples permanently. The procedure is short, usually thirty minutes to one hour, and is done with local anesthesia and sedation, allowing the patient to return home within a few hours. Two types of procedures for correction of inverted nipples exist. One procedure severs the milk ducts while the other procedure spares at least some of the ducts making breastfeeding possible.
Inverted nipple correction procedures are performed by cosmetic surgeons such as Dr. Alan Kingdon through a small incision just below the nipple where the areola (darker skin) meets the breast. Patients are able to be driven home within a few hours and may return to light activity within two days. Normal activity can be resumed in two to three weeks.
Most patients complain of some soreness and bruising in the first few days to a week following surgery. The pain responds well to oral pain medication and is usually totally resolved within a few days. The scar can take several months to two years to fade completely. While one procedure is aimed at preserving the milk ducts there is no guarantee breastfeeding will be successful.
As with any surgical procedure, you will want to have a consultation with the doctor who will perform the inverted nipple correction procedure. It is good to prepare a list of questions ahead of time. Also be sure to tell your surgeon about any health issues you have, medications or supplements that you are taking, and any previous problems you have had with surgery.