Inverted nipples Surgery


Nipples tend to play an important role in the women’s self-esteem. Inverted nipples can cause an emotional concern in women.

Umbilicated or inverted nipples are a relatively common disease in women, more rare in men, and may affect one or two breasts. The inverted nipple is a congenital disorder that occurs when the nipple ducts, called galactophorus, which allow milk to pass into the nipple, are shorter than usual; and this fact causes the nipple retraction.

The most effective solution to this problem is frequently a small surgery that can be carried out with local anesthesia.

Umbilicated or inverted nipple is a pathology that apart from its aesthetic impact in the most severe stages can make breastfeeding impossible.

It is important to differentiate the inverted nipple from the retracted one (acquired after surgery, infection, or a breast tumor), because the treatment is different.

Depending on its severity, the inverted nipple is classified into three types.

Grade I. The nipple can come out easily when is manipulated or even occasionally without manipulating it.

Grade II. To come it out is necessary to manipulate it, but goes back to inverted after doing it.

Grade III. In this grade it is never possible to come the nipple out.

In 90% of the cases, the most common grade is I or II. In case of grade III, breastfeeding becomes even impossible.

Beyond the functional problems caused by inverted nipples, there is a clear deep aesthetic impact for some women. This aesthetic dissatisfaction is what motivates to go to surgery to correct it.

It is important to assess the degree of nipple inversion, as in grades I or II surgery will try to keep the galactophorus ducts to facilitate breastfeeding after surgery. The problem with these conservative techniques is the high risk of relapse.

In any case, since the source of the problem is the shortening of the galactophorus conducts, it will be necessary cut these ducts off if we want to correct the umbilicacion effectively.

Surgery duration

45 minutes


It is not required


15 days




1 month




This is a relatively simple surgery, carried out under local anesthesia that lasts approximately 15 minutes per nipple. An incision is made at the bottom edge of the areola. The nipple is pulled and sutured in a new position. The scar is almost invisible due to its short length and its location between the areola and the skin. 


The surgery result is very natural and the minimal scars are imperceptible. 


The patient can return to her social-working life immediately; only physical exercise should be avoided until approximately 10 days after surgery. 

Expert opinion

Dr. Gabriel Planas

Dr. Gabriel Planas

Surgery for the correction of inverted nipples is a simple operation performed under local anesthesia, in which a minimal scar of about 5mm is made to correct and reposition the nipple.


Dr. Mike Dewever

Dr.  Mike Dewever

There are different degrees of inverted nipple, in the mildest cases the nipple can be easily removed manually while maintaining the projection, however in the most severe cases the nipple can only be removed by surgery.


Dr. Ramón Tarragona

Dr.  Ramón Tarragona

The inverted nipple is caused by the failure of the mechanisms that maintain the projection of the nipple. A short surgical intervention with local anesthesia allows us to solve this problem that in many cases can cause insecurity in women.


Dr. Pere Taverna

Dr.  Pere Taverna

Some causes that can cause nipple retraction are various pregnancies with the corresponding lactation periods, shortening of the breast or milk ducts.


Dra. Gemma Pons

Dra.  Gemma Pons

This alteration of the nipple can cause functional problems such as making breastfeeding difficult, as well as interfering with self-image and sexual relations.


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