Nipples are an aesthetic and sexually attractive feature. Straightened nipples are a symbol of sensuality. Inverted nipples, also known as inverted nipples, are inwardly retracted nipples that affect about 2% of the female population.

Many women are not only disturbed by the appearance of the breast. Inverted nipples can affect sexual self-confidence. The malformations can also cause recurrent inflammations. Furthermore, breastfeeding can be difficult or impossible due to the lack of nipple erection. The causes are shortened milk ducts and insufficient supporting tissue. The change on both sides can be hereditary. One-sided phenomena can be the result of operations or inflammations. Inexplicable one-sided changes in the nipple should lead to further examinations.

As a rule, inverted nipples cannot be corrected invasively while maintaining the ability to breastfeed. A minimally invasive solution of the lactiferous ducts can only be considered in pronounced individual cases or with recurring inverted nipples. If you are concerned about your ability to breastfeed, inverted nipples can also be corrected non-invasively at the beginning of pregnancy.

How is the inverted nipple corrected?

Nipple surgery can be performed painlessly under local anaesthesia. The erection of the nipple requires only a few punctures and the application of a bandage. The minimally invasive procedure requires a skin incision of four to five millimetres. The wound is closed with fine sutures. The anaesthesia continues beyond the operation and gradually subsides. The outpatient procedure lasts about 20 minutes. Before you leave the practice, control appointments are arranged and the behavioural measures are discussed with you in detail. You will receive a comprehensive written report and a telephone number where you can reach the surgeon 24 hours a day in an emergency.

Before, after and even during the operation you can watch movies or your favourite series with virtual reality glasses. This is not only entertaining, the distraction also demonstrably leads to less sensitivity to pain.

How can you prepare for a nipple correction?

  • All your questions about possible complications and alternative treatments should be answered before surgery.
  • On the day of surgery, shower with a disinfectant soap (e.g. HiBiScrub® Plus, Octenisan® Wash Lotion, Prontoderm® Shower Gel).
  • Keep nicotine and alcohol consumption to a minimum.
  • If necessary, stop taking hormone-containing medication (the pill) temporarily.
  • Blood-thinning medication (e.g. ASS, Thomapyrin®) must be discontinued at least ten days before the operation after consultation with your treating physician.
  • Vitamin preparations (A, E) and dietary supplements (omega-3 fatty acids, St. John's wort preparations, etc.) must be discontinued at least four weeks before the operation.
  • Surgery limits the ability to travel by air. Therefore, do not plan any professional or private air travel during the four weeks following the operation.
  • Before performing aesthetic surgery, you should take out follow-up insurance.

What do you have to consider after a nipple correction?

  • This is followed by regular checks of your well-being and the results of the operation.
  • An elevation of the upper body of about 30 degrees (also during sleep) over three days is beneficial for decongestation and wound healing.
  • Showering is possible from the third postoperative day immediately before the wound check up.
  • From the third postoperative week onwards, several daily massages for a few minutes in a circle as well as lengthwise and crosswise to the course of the scar with oily creams (e.g. Bepanthen® ointment or Linola® fat) help to inconspicuous scars.
  • Bending down, lifting heavy loads, swimming, sauna, sexual intercourse and sports activities should be avoided for four weeks, possibly longer if swelling still exists.

Author's statement

Author: Stéphane Stahl, MD, PhD. There are no financial relationships with the pharmaceutical or medical device industries that could have influenced the above text. Any reproduction, even partial, is permitted for personal use only. All texts used on this website are protected by copyright.


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