Dr. Martain Loonen

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Inverted Nipples

Retracted nipples is another word for inverted nipples. They are present in some people from birth, while others develop them later in life.
They are available to both males and females. Only one nipple may be inverted at a time.
Nipples that are inverted are not a cause for concern. They also don’t make breastfeeding difficult because the baby can latch throughout the entire areola.
However, depending on the degree of inversion, a person may have difficulty or be unable to breastfeed.


If you want something lasting, surgery is your only option.
There are two types of surgeries: those that keep the milk ducts intact and those that don’t.

Partially preserved milk ducts after surgery:

The “parachute flap” technique is another name for this. Because some of the milk duct system stays intact, women who have this treatment should be able to nurse. There should be no change in nipple sensation.

The following is how it works:

Your surgeon will create an incision around the base of your nipple after administering local anesthesia.
The nipple and areola are both pulled from the breast and stitched into a projecting form while still attached.
After that, your doctor will close the incision and wrap it in medicated gauze.

Grades of nipple inversion:

Inverted nipples are divided into three categories. The grades are used to determine or characterise the following:

The degree to which the inversion has occurred.
the inversion’s expected impact on breastfeeding
If you wish to change the inversion, this is the best option.

Grade 1: Gently pulling or squeezing the areola with your thumb and index finger can pull out the nipple. The nipple will frequently remain out for an extended amount of time. Breastfeeding or stimulation can also help to bring the nipple out.

Grade 2: This grade indicates that pulling out the nipple may be more difficult than with a grade 1 inversion. The nipple retracts inward when it is released.

Grade 3: Pulling the inverted nipple out is difficult or impossible.


Instead of pointing out, inverted nipples fold inward. Breastfeeding is still possible for most women with inverted nipples. If your baby is having trouble latching on to the breast, seek assistance from your doctor, midwife, or lactation consultant.

Surgery is the most common treatment for inverted nipples. 

The centre of inverted nipples may appear flat, dimpled, or indented. They retract or pull inward when stimulated. It’s possible to have one inverted nipple and one that isn’t, just like with flat nipples.

A congenital inverted or retracted nipple is one that has been present since birth. This can happen to both men and women. It usually has an impact on both sides.