Inverted Nipples: Causes, Concerns, and Treatment Options
Many women (and some men) notice that their nipples point inward instead of outward. This is called an inverted nipple, and it’s a lot more common than most people think. In fact, up to 10–20% of women are born with one or both nipples inverted. While usually harmless, inverted nipples can sometimes cause cosmetic concerns, self-consciousness, or difficulties with breastfeeding.
What are inverted nipples?
Normally, the nipple projects outward from the breast. With an inverted nipple, the nipple turns inward, looks flat or can appear dimpled into the areola. This can happen on one or both breasts, and the degree of inversion can vary:
Mild inversion: nipple may come out with stimulation or temperature changes
Moderate inversion: nipple occasionally protrudes, but mostly stays inverted
Severe inversion: nipple remains pulled in at all times
Causes of inverted nipple
Congenital (present from birth): Most inverted nipples are simply a normal variation in anatomy. They occur when the milk ducts and supporting tissue beneath the nipples are shorter or tighter than usual
Breastfeeding and ageing: Changes in breast tissue over time, including after breastfeeding, can sometimes lead to inversion
Medical conditions: Less commonly, nipple inversion can develop later in life due to conditions such as:
Scarring behind the nipple (from infection or surgery)
Breast cancer (particularly if inversion occurs suddenly in one breast)
When to seek medical advice
If you’ve always had inverted nipples, it’s usually not a cause for concern. However, you should see a doctor if you notice:
A nipple suddenly becoming inverted when it wasn’t before
Discharge from the nipple
A lump or skin changes in the breast
These symptoms don’t always mean cancer, but it’s important to have them checked.
Can inverted nipples be fixed?
Yes – there are both non-surgical and surgical options.
Non-surgical methods
Nipple shields or suction devices: Often used during breastfeeding to help the nipple protrude.
Massage techniques: Some women find gentle stretching helps in mild cases.
Surgical correction:
There are various surgical techniques, some can even be performed under local anaesthetic
Most techniques involve releasing or lengthening the tight ducts and tissue pulling the nipple inward
Non-surgical and surgical methods can be combined to produce a more lasting result
Risks & complications of surgery
Inverted nipple correction is usually a straightforward procedure. However, like any surgery, there are some potential risks and complications to be aware of:
Scarring
Loss of nipple sensation – some women notice temporary or permanent changes in nipple sensitivity.
Recurrence – in some cases, the nipple may invert again over time, particularly if the procedure aims to preserve milk ducts.
Difficulty breastfeeding – surgery often involves dividing some of the milk ducts, which can affect future ability to breastfeed. This should be discussed if you are planning pregnancies.
Infection or delayed healing – uncommon, but as with any surgery, there is a risk of infection, bleeding, or slow wound healing.
Asymmetry – the nipples may not look perfectly symmetrical after surgery.
Most women recover quickly with minimal issues, and serious complications are rare.
Living with inverted nipples
Having inverted nipples is very common and nothing to be embarrassed about. For many, they don’t cause any physical problems. But if they affect your confidence or ability to breastfeed, treatment options are available.
Take home message
Inverted nipples are usually harmless, but a new change should always be checked by a doctor. If you’re considering treatment for cosmetic or functional reasons, speak with a specialist to learn about the best options for you.
Dr. Jenaleen Law
Specialist Plastic and Reconstructive Surgeon
MED0001775113
