Inverted nipples are a common problem in women. The often look like a slit or hole on the nipple. Inverted nipples may be a source of self-consciousness or embarrassment. They can also cause frustrating problems with breastfeeding, infections, or other discomfort. Most people don't know that this is a readily correctable problem.
The cause of nipple inversion is usually a congenital shortening of one or more milk ducts that run from the breast tissue to the nipple. Sometimes the shortening is caused by an infection or previous surgery, but most of the time the patient is born with this problem. This short duct tethers the nipple and pulls it inward. There are many types of described repairs. More than likely the correction will involve division of the shortened duct(s) through a tiny incision located at the junction of the nipple and the areola. This is usually done under anesthesia or sedation in the office. There is minimal pain and swelling. Patients often return to work the next day. The inverted nipple repair restores the nipple to a more natural, projecting appearance. Breastfeeding is not likely after repair. Sensation may not be affected.
