Inverted nipples – a condition where the nipples form inward instead of outward — changes the aesthetic of a woman’s breasts. Most often this is a congenital problem that becomes more evident when breasts develop at puberty. Because breasts are such an important part of the female form, having inverted nipples can negatively affect a woman’s self-perception and femininity.
Dr. Nina S. Naidu is a female plastic surgeon in New York City (NYC) who specializes in cosmetic surgery of the breast. She and her staff are dedicated to providing women in NYC with the highest quality of care possible. Dr. Naidu views breast surgery as a creative, delicate endeavor that improves a woman’s physical beauty and enhances her self-confidence.
An inverted nipple occurs when the nipple is pulled inward toward the breast instead of pointing outward. Inverted nipples are usually a genetic problem and visible at puberty. If you normally have protruding nipples that suddenly become inverted, you need to immediately contact a breast specialist to determine the cause.
The ability to breastfeed depends on the severity of your inverted nipples. Inverted nipples are graded from mild to severe:
Grade I: These are mildly inverted nipples that can be made to protrude by applying pressure around the areola. These women usually do not have problems breastfeeding.
Grade II: In this case, nipples are moderately inverted. It is possible – but difficult — to make them protrude by applying pressure around the areola. For these women, breastfeeding is possible but may be challenging.
Grade III: This is the most severe form of inverted nipples. Women cannot protrude their nipples by applying pressure to their areola. Grade III inverted nipples require corrective surgery and women will usually not be able to breastfeed.
Inverted nipple correction is an outpatient procedure that takes 30-60 minutes. For your comfort, it is performed using either a local anesthesia or light sedation.
Dr. Naidu will make tiny incisions on your areola to release the tissue that’s pulling your nipple inward. Once the tissue is released, your nipples will naturally protrude outward. Fine sutures are used to hold your nipples in their new position.
You are an ideal candidate for inverted nipple correction if you feel self-conscious about your inverted nipples and do not intend to breastfeed in the future. You must also be in good health and a non-smoker.
The first part of your inverted nipple correction process is a comprehensive consultation in our NYC office. Dr. Naidu will get to know you and your goals for the surgery. Many women just want Dr. Naidu to repair their inverted nipples. Sometimes patients are seeking additional surgery because they are unhappy with their areolas or with the overall shape of their breasts.
During your consultation, you will need to tell Dr. Naidu about your medical history and your use of medications, nicotine, alcohol or supplements. She will want to know about any previous surgeries, including surgeries on your breasts. If you plan to become pregnant or breastfeed in the future, Dr. Naidu will explain the impact that inverted nipple correction will make on your breasts so that you can make an informed decision about the surgery.
Dr. Naidu will conduct a physical examination of your nipples, areola and the soft tissue of your breasts. Dr. Naidu will also measure the base width of your breasts and the amount of existing breast tissue. These measurements will be used to plan your surgery.
At the end of the consultation, Dr. Naidu will let you know if you are a good candidate for inverted nipple correction surgery. She will educate you about how the surgery is performed so that you can make an informed decision. She will never pressure you to schedule the procedure.
If you decide to proceed with inverted nipple correction surgery, you will have a second consultation with Dr. Naidu in our NYC office. At this appointment, Dr. Naidu will specifically explain how your nipples will look following the surgery. Dr. Naidu goal is to create nipples that will look natural and be aesthetically pleasing.
Dr. Naidu will also explain her plan for your surgery. She will let you know the length of your surgery, the location of your incisions, and what to expect during your recovery. You will also complete the necessary paperwork for your inverted nipple correction surgery.
At this appointment, we will take pre-operative photographs. These photographs are an important part of your surgical planning and are considered part of your medical record. They will never be shown to other patients without your written permission.
Depending on your medical history, Dr. Naidu may advise you to discontinue certain medications prior to surgery. If you are a smoker, you may not smoke for eight weeks before or after surgery. For your safety, Dr. Naidu may also order additional screening tests (such as a mammogram) or request preoperative clearance from your primary care physician.
Inverted nipple correction surgery takes between 30 and 60 minutes and is performed in a NYC ambulatory surgery center. Dr. Naidu will use a local anesthetic with or without mild sedation so that you will be completely comfortable during the surgery.
The evening prior to surgery, you should not eat or drink anything after midnight. This ensures that you have an empty stomach prior to surgery, which is very important for your safety.
You will meet with Dr. Naidu immediately before your inverted nipple correction surgery. She will make several marks on your breasts for use during surgery, as well as answer any additional questions that you may have.
Once you are comfortably sedated, Dr. Naidu begins the surgery by making careful incisions around your nipple to release the tissue that’s pulling your nipple inward. Once the tissue is released, your nipples will naturally protrude outward. Fine sutures are used to hold your nipples in their new position. Surgical dressings will be placed on your nipples.
After being carefully monitored, you will be allowed to go home the same day. You must have someone to drive you home.
Most patients have very little pain following their inverted nipple correction. Dr. Naidu will give you a prescription for pain management, as well instructions about how to take care of your incisions. There is generally no significant bruising or swelling, although this will vary among patients. Many patients return to work the following day.
During your consultation, Dr. Naidu will explain the risks of inverted nipple correction surgery so that you can make an informed decision. As with other surgeries, the complications of inverted nipple correction surgery include bleeding, infection and scarring. It can also lead to nipples that are asymmetrical. The main risk of surgery is recurrence of the inverted nipples. Due to the nature of the surgery, you may lose some sensitivity in your nipples.
Complications from your inverted nipple correction can be mitigated by choosing a skilled plastic surgeon, providing a thorough medical history, and carefully following your pre-operative and post- operative instructions.
We understand that cost is an important consideration for our clients. An inverted nipple correction is generally considered to be cosmetic surgery and is not covered by insurance. Our staff is happy to provide information on the costs of inverted nipple correction, as well as information on financing. You will receive a personalized cost estimate following your first consultation with Dr. Naidu.
Aesthetic and reconstructive surgery of the breast comprise a large part of Dr. Naidu’s NYC surgical practice. She has a special interest in aesthetic breast surgery and in reconstruction of the breast.
For patients who are interested in adding volume to their breasts in addition to having inverted nipple correction, Dr. Naidu also performs breast augmentations. She is excited to be one of only nine plastic surgeons in NYC to offer the Ideal Implant®, which combines a natural feel of silicone with the safety of saline. Since 2006, Dr. Naidu has served as a clinical investigator in the Breast Implant Follow-Up Studies (BIFS) trials.
Dr. Naidu completed her undergraduate studies at The Johns Hopkins University and obtained her medical degree from Cornell University Medical College. After completing her general surgery and plastic surgery training at New York Presbyterian – Weill Cornell Medical Center, she performed an additional year of fellowship training at the University of Pennsylvania. Dr. Naidu is Board Certified by the American Board of Plastic Surgery and is a Clinical Assistant Professor of Surgery at Weill Cornell Medical College.
Our office is conveniently located at 1021 Park Avenue in NYC. If you’d like to learn more about inverted nipple correction – and whether it is right for you – please call our office at 212-452-1230 and schedule an appointment.