Does the nipple only protrude after stimulation count as nipple inversion?

Patient's question:

The nipple is usually flat and indistinguishable from the surrounding areola, with a small indentation in the middle. It protrudes when stimulated, but there's still a small indentation in the middle of the nipple. Is this considered inverted nipples? Also, some parts of the nipple and areola are pink, while others are brown. I'm 21 years old, have never given birth, and have had sexual experience.

Doctor's answer:

Based on the symptoms you described, it does not fall within the scope of nipple inversion. Nipple inversion refers to the entire nipple being hidden within the breast, with the nipple either level with or below the breast and the areola's skin plane, but the nipple still points forward or has a slight tilt. A common cause of nipple inversion during adolescence is during breast development. Premature use of bras is one factor; some young women, fearing their breasts will grow too large, wear overly tight bras or tightly bind them with cloth strips, which affects breast development and compresses the originally protruding nipple, preventing it from developing normally. Additionally, inflammation or injury to the breast during development, followed by scar tissue contraction after healing, can also cause nipple inversion.

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