Nipple Inversion Symptoms, Causes & Statistics
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Nipple inversion symptoms
The nipple, the very center of the areola, can vary in color, size, shape, and general position in both men and women. The nipple can be flat, protruding, inverted, or none of these. Furthermore, one nipple can be in one position and the other a completely different position — there is no singularly normal pattern. An inverted nipple describes one that retracts into the breast instead of pointing outward. See this image here for a visual representation. An inverted nipple can be normal, especially if it has been present from birth.
Common accompanying symptoms of nipple inversion
Other symptoms that may be associated with benign nipple inversion include:
- Maintained protrusion after finger pressure: Meaning it will return to inverted position over time
- Retraction in response to temperature or stimulation
- Protrusion in response to breastfeeding
More serious symptoms
It is important to follow-up on nipple inversion symptoms with your physician if it is a new symptom that you have not had before. You should do so promptly if it is associated with any other symptoms such as the following, which can indicate cancer.
Nipple inversion causes
The following details may help you better understand your symptoms. You should see a physician for nipple inversion that was not present before or if it occurs along with other concerning symptoms.
Many people are born with naturally inverted nipples. This type of nipple inversion is usually benign and simply a variation in positioning. Women with genetically inverted nipples usually do not have problems with breastfeeding or other complications. On the other hand, some congenital genetic conditions are associated with certain specific morphologies and characteristics; in such conditions, inverted nipples are characteristic of the disease.
Newly acquired inverted nipples may be a sign of cancer, especially if the symptoms are associated with nipple pain, bloody fluid or brown discharge from the nipple and changes in color and texture of the nipple and areola.
Nipple inversion may be the result of an infection.
- Mastitis: Infection of the milk ducts of the breast is known as mastitis. Mastitis can result in cracked or blistering nipples that may retract into the skin. The inflammation from the infection can cause pain and swelling that is very common among women during breastfeeding.
- Breast abscess: Infection in any part of the breast tissue can cause inflammation and result in an abscess (a pocket of pus). Sometimes these abscesses can also result in nipple inversion.
Though less common, direct or indirect trauma to the breast that results in scarring or fat necrosis, a condition in which there is an injury to an area of fatty tissue that causes breakdown and cell death, can also affect the nipple and cause inversion.
3 nipple inversion conditions
The list below shows results from the use of our quiz by Buoy users who experienced nipple inversion. This list does not constitute medical advice and may not accurately represent what you have.
Breast infection (mastitis)
Mastitis is an infection of the breast tissue that results in breast pain, swelling, warmth and redness of the breast. Mastitis most commonly affects women who are breast-feeding (lactation mastitis), although sometimes this condition can occur in women who aren't breast-feeding.
Top Symptoms: fatigue, nausea, breast pain, signs of breast inflammation like redness, swelling or fever, fever
Symptoms that always occur with breast infection (mastitis): breast pain, signs of breast inflammation like redness, swelling or fever
Urgency: Primary care doctor
A breast abscess is a collection of infected fluid, or pus, within the breast that is generally painful, and may cause fever, chills, fatigue, and body aches.
A breast abscess is a complication of mastitis, an infection of the breast tissue, that develops most commonly in breastfeeding women. ..
There are several types of breast cancer, depending on the part of the breast where it starts. The most common types are ductal carcinoma in situ (DCIS), invasive ductal carcinoma and invasive lobular carcinoma.
Women over age 50 with a family history of the disease, and/or certain genetic factors, are most at risk, but anyone can get breast cancer at any age. It is rare in men but does occur.
Symptoms include a lump, thickening, or pain anywhere in the breast or armpit; red, flaky, or irritated breast or nipple skin; nipple discharge; and any area of irregular skin or misshapenness.
Many harmless conditions can cause similar signs, so it is important to see a medical provider about any of these symptoms.
Diagnosis is made through physical examination; imaging such as ultrasound, mammogram, or MRI; and sometimes biopsy.
Treatment involves a combination of surgery, radiation therapy, and chemotherapy.
The best prevention is a combination of screening mammograms as recommended by the medical provider, and monthly self-examination.
Top Symptoms: breast pain, armpit lump, breast mass or retraction, breast lump, nipple discharge
Urgency: Primary care doctor
Nipple inversion treatments and relief
There are many surgical and corrective procedures for benign nipple inversion symptoms not associated with underlying disease.
If your nipple inversion is genetic and benign, there are various at-home interventions you can try in order to induce protrusion of the nipple.
- Hoffman procedure: This is a procedure you can do at home where you place your thumbs on either side of your nipple at the base and press firmly into your breast tissue. You then gently pull your thumbs away from each other, then all around the nipple, and repeat. Regular stimulation may help your nipples protrude more often, but since everyone's breasts are different, do not become discouraged if this method does not work for you.
- Suction: These devices function by pulling the nipple into a small cup, stimulating the nipple to protrude.
When to see a doctor
If you're looking for a more permanent solution, your physician may suggest surgery. There are two types of surgeries for nipple inversion correction:
- Surgery that preserves the milk ducts: This type of surgery is known as the "parachute flap" technique. Women undergoing this procedure do not lose the ability to breastfeed or experience any changes in nipple sensation.
- Surgery that does not preserve the milk duct: Though women undergoing this procedure also do not experience changes in nipple sensation, they do lose the ability to breastfeed.
Dr. Gambrah-Lyles is a resident pediatrician at the Children's Hospital of Philadelphia. She is a graduate of the University of Pennsylvania Perelman School of Medicine (2019). She graduated cum laude and received her undergraduate degree in Biochemistry and Spanish from Washington University in St. Louis (2013). Her research explores the intersections between neurology, public health, and infectious disease. She has investigated nutrition and cerebral palsy in Botswana, and completed a year-long project in Brazil, researching growth and developmental outcomes of Zika virus infection in pediatric patients as a Doris Duke International Scholar. Dr. Gambrah-Lyles speaks four languages, loves staying active, and enjoys sharing her love for medicine through teaching and writing.
- Nicholson BT, Harvey JA, Cohen MA. Nipple-areolar complex: Normal anatomy and benign and malignant processes. Radiological Scoiety of North America. Published March 1, 2009. RSNA Link
- Liu L, Zhou F, Wang P, et al. Periductal mastitis: An inflammatory disease related to bacterial infection and consequent immune responses? Mediators Inflamm. 2017;2017:5309081. NCBI Link
- Mastitis. Cleveland Clinic. Updated October 15, 2014. Cleveland Clinic Link
- Dixon JM. Periductal mastitis/duct ectasia. World J Surg. 1989;13(6):715-720. NCBI Link
- Foster R, Freeborn D, Horowitz D, eds. Nipple problems and discharge. University of Rochester Medical Center. URMC Link
- Kerridge WD, Kryvenko ON, Thompson A, Shah BA. Fat necrosis of the breast: A pictorial review of the mammographic, ultrasound, CT, and MRI findings with histopathologic correlation. Radiol Res Pract. 2015;2015:613139. NCBI Link.
- Inverted and flat nipples. La Leche League International. LLLI Link
- Successful breastfeeding: A guide for breastfeeding mothers. NHS. Published August 2016. NHS Link
- Simon S. 5 breast conditions that aren't cancer. American Cancer Society. Published September 18, 2018. American Cancer Society Link
- Foster S, Freeborn D, Horowitz D, eds. Nipple problems and discharge. University of Rochester Medical Center. URMC Link
- Flat or Inverted Nipples. Pregnancy-Info.Net Forums. Pregnancy-Info.Net Link
- Long X, Zhao R. Nipple retractor to correct inverted nipples. Breast Care (Basel). 2011;6(6):463-5. NCBI Link.
- Kirwan L. Inverted nipple and nipple reconstruction, the parachute flap. ResearchGate. 1999;7(5):233. ResearchGate Link
- Nipple surgical techniques. Breastfeeding After Breast and Nipple Surgeries. Published 2007. BFAR Link