Many women have nipples that are inverted intermittently or constantly. Although common, inverted nipples are rarely discussed, as the condition is often a source of embarrassment and self consciousness. Inverted nipples may be inverted to the same degree in both breasts; however there is usually some mild asymmetry with one inverted nipple that is more considerable
than the other. Inverted nipples are caused by tight and shortened breast duct tissue. The inverted nipples can be corrected surgically by the release of the foreshortened ducts, in most cases with minimally invasive techniques.
I was very uneasy speaking about what was bothering me, but upon meeting Dr. Kolker and listening to him explain his technique, he made me feel very comfortable and I had a feeling at that second that I could trust and believe in him. My inverted nipple was corrected successfully! It changed my life and the way I feel about myself.
After a careful history and examination, Dr. Kolker will carefully advise you on the procedure for the correction of inverted nipples that suits you best. There are three main types of nipple inversion: Grade I, where the inverted nipples come out occasionally without manipulation, Grade II, where the inverted nipples require manipulation to evert them, and Grade III, where the inverted nipples do not come out at all. Many women have a combination of the above (for example, Grade I in one breast and Grade II in the other, or even normal in one breast and Grade III in the other) The classification of your particular nipple inversion will determine the procedure you require. Occasionally, the more mild forms of nipple inversion will respond to non-surgical measures such as a course of "niplette" external suction, where a device is used at home to create a vacuum effect on the nipple, "pulling" it out over time). This is very rarely effective in Grade II and III inverted nipples, and only very occasionally in Grade I inverted nipples. Dr. Kolker will advise you on the surgical (or non-surgical) course that is most appropriate for you.
In the majority of cases, a minimally invasive technique is used, placing a tiny incision at the base of the nipple, which as it heals becomes virtually imperceptible. Through this incision, a microsurgical or very fine instrument is used to release the tethering fibers and foreshortened duct that hold the nipple in its inverted position. A suture is placed beneath the nipple to maintain its position. Dr. Kolker's unique artistic and technical approach to inverted nipple correction can be found in his journal article "Minimally invasive correction of inverted nipples: a safe and simple technique for reliable, sustainable projection" developed and published by Dr. Kolker in the Annals of Plastic Surgery, May 2009. The correction of inverted nipples procedure is performed safely, comfortably, and conveniently in our office-based surgical unit, accredited by the American Association for the Accreditation of Ambulatory Surgery Facilities (AAAASF). Local anesthesia is used most commonly. The duration of inverted nipple correction surgery is approximately one hour.
Following the correction of inverted nipples, recovery is rapid. You may return to work the following day, and light cardio exercise may be resumed three days after the procedure. The main restriction is from compression for ten days to two weeks after the procedure, during which time you should not wear a bra; camisole tops or other non-compressive garments should be worn.
Inverted nipple correction is most often performed as an isolated procedure. For those individuals who desire additional plastic surgery enhancements, correction of inverted nipples may be combined with breast augmentation, breast lift, liposuction, tummy tuck (abdominoplasty), and facial rejuvenation procedures.
If you would like to learn more about the correction of inverted nipples in New York, and about the inverted nipple correction techniques that will suit you best, we invite you to meet with Dr. Kolker for a private consultation at our office, located at Park Avenue and 70th Street, by calling 212-744-6500, or by scheduling an appointment online.