Patient's question:
11 years old, had inverted nipples since childhood, and now with breast development, the inversion has become more pronounced.Doctor's answer:
Hello: Nipple inversion refers to the condition where the nipple is buried within the breast. Although the breasts of young women may be prominent, some may have nipples that never protrude and remain hidden within the breast, causing them distress. They may feel embarrassed to take a bath in public bathrooms, fearing others will notice the absence of nipples on their breasts, and thus avoid bathing. If we take timely corrective measures, the majority of inverted nipples can be restored to protrude, and the aesthetic appearance of the breasts can be restored.Nipple inversion occurs when the entire nipple is hidden within the breast. The nipple may be level with the breast or even lower than the skin surface of the areola, but its direction remains forward or slightly inclined. A common cause of nipple inversion during puberty is during breast development. Some young women, fearing their breasts will grow too large, may wear excessively tight bras or tightly bind them with cloth strips, which hinders breast development and compresses the nipples, preventing them from protruding normally. Additionally, inflammation or injury to the breast during development, followed by scar tissue contraction after healing, can also cause nipple inversion.
Nipple inversion not only affects a woman's aesthetic silhouette but, more importantly, it can impact breastfeeding. If inversion is severe, it may lead to mastitis due to the accumulation of dirt or bacteria. Therefore, it is essential to correct nipple inversion promptly. Common methods include:
(1) Choosing a properly sized bra: Avoid and correct the practice of tight-binding the chest. A bra that is too small and tight can compress the chest and affect breathing. Since women primarily rely on thoracic breathing, an overly tight bra is like tightening a rope around the chest, restricting respiratory movement and preventing further worsening of nipple inversion.
(2) Pulling method: When nipple inversion is detected, gently pull the inverted nipple outward with fingers every morning and evening. Simultaneously, lightly massage the nipple with the thumb or index finger for 5–10 minutes each time.
(3) Compression method: Wear a smaller bra or a 10 cm wide cloth strip with a hole the size of the nipple at the corresponding position. After wearing the bra or cloth strip, the nipple is pressed outward. With persistent use, the inverted nipple will protrude. Alternatively, a walnut shell or a small ceramic cup can be placed over the nipple, and the bra can be worn to apply pressure for a period, causing the nipple to protrude.
(4) Negative pressure method: Use a syringe needle or the wide end of a glass eye-dropper bottle over the nipple. Connect a rubber tube to the narrow end and then to a large syringe. By forcefully pumping air, negative pressure is generated, which deepens the pressure around the nipple, causing it to protrude. After applying the bottle, combine it with pulling and massage.