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Inverted Nipple Repair

A woman’s nipples are important to her body image, sexuality, and ability to breast feed. Nipple inversion affects approximately 2% of all women and can involve one or both breasts. The problem may be transient and responsive to stimulation or permanent. In either case, this disfiguring condition can be successfully managed with a surgical procedure that directly addresses the cause of the problem. The result is normally everted, projecting nipples.

Nipple Repair
 Before & After Photos


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Nipple Repair
 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

Case: 1 of 8
Case: 1 of 8
Nipple Repair Case 58 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 1 of 7

Case #58

This is a 50 year old Denver woman who underwent an inverted nipple repair. Post-operative pictures are from 2 weeks after surgery.
Surgeon: Steven Vath
Nipple Repair Case 710 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (2 weeks)
Case: 2 of 7

Case #710

\t46 year-old woman who presented for left inverted nipple (following an unrelated breast biopsy).  Post-op photos are from approximately 2 weeks, and the patient maintained excellent sensation.  If you are interested in having this procedure performed in Denver, inverted nipple correction is a simple oupatient procedure,... Read More
Surgeon: Paul Steinwald
Nipple Repair Case 391 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 3 of 7

Case #391

This young woman complained of inverted nipples. She underwent an inverted nipple repair procedure. There is no visible scarring from this operation and the results are permanent. She maintained her nipple sensation. Post-operative pictures are from 3 weeks after surgery. Read More
Surgeon: Steven Vath
Nipple Repair Case 11216 Before & After Right Oblique | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 4 of 7

Case #11216

This is a 43 year old woman who underwent a nipple reduction. She wanted to reduce the projection of her nipples. Post-operative pictures are from six months after surgery. She also underwent a breast augmentation at the same time.
Surgeon: Steven Vath
Breast Augmentation Case 911 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 5 of 7

Case #911

This 33 year old patient of Dr. Steinwald's wanted to increase her cup size from an A to a small C. She chose 350 cc Sientra smooth, round, moderate projection implants which were placed under the muscle via an inframammary fold incision. She also felt that her nipples projected too far outward, so a nipple reduction was also performed.She... Read More
Surgeon: Paul Steinwald
Breast Augmentation Case 931 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (6 months)
Case: 6 of 7

Case #931

Breast Augmentation with Nipple Reduction
Surgeon: Paul Steinwald
Denver Breast Augmentation
Before/After (1 month)
Case: 7 of 7

Case #11259

30 year-old mother of several boys who wished to be in a fuller C-cup bra size range (and to have nipple reduction); breast augmentation with textured round 470cc high-profile Sientra implants performed for positional stability (with nipple reduction concomitantly), shown here approximately 1 month post-op. If you have similar issues and live in... Read More
Surgeon: Paul Steinwald

Keep in mind that each patient is unique and your results may vary.

What is the nipple and areola?

The nipple is the projecting portion of the breast that carries the lactiferous (milk) ducts. The areola is the dark pigmented circle of skin from which the nipple projects.

Am I a candidate for inverted nipple repair?

Whether your nipples are transiently inverted or permanently retracted, you will benefit from the inverted nipple repair procedure.

What causes inverted nipples?

The lactiferous (milk) ducts leading to the nipple are unusually short and tight, pulling the nipple inward.

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How is an inverted nipple repair performed?

A small incision is made at the base of the nipple within the colored areala so the scar is hidden. Then the shortened ducts are either released or selectively divided depending upon the severity of the inversion to allow for nipple eversion. Small stitches are placed under the nipple to hold the nipple out in a projected position.

Can an inverted nipple repair be performed at the same time as other procedures?

Yes. Repair of inverted nipples can be done along with breast augmentation, breast lifts, breast reduction, tummy tucks, liposuction, or facial procedures.

What are the main risks of the procedure?

The ability to breast feed may be affected due to milk duct manipulation. Sensation to the nipple is usually intact after an inverted nipple repair, but can sometimes be affected.

Meet Our Surgeons

Board-certified plastic surgeons Dr. Steven Vath, Dr. Andrew Wolfe, and Dr. Paul Steinwald lead our patient-centered practice with warmth, honesty, and respect. Their combined expertise and credentials have placed us among Colorado's premier aesthetic centers.

What kind of anesthesia is necessary for an inverted nipple repair?

Local anesthetic achieves complete pain control so that you may comfortably undergo this procedure in the office operating room setting. You may opt for IV sedation or general anesthesia if you would prefer not to feel the injections to numb the skin.

What is the recovery?

If the procedure is performed under local anesthesia, you can be back to work and most activities within several hours. There is a mild amount of discomfort which is easily manageable. You may shower after 24 hours and the splint is removed after 2 to 4 days.

Is there anything I can do about nipples that are too long or wide? How about enlarged areola?

Yes. Under a local anesthetic, simple procedures are available to reduce the length and/or width of your nipple depending upon your goals. Similarly, enlarged areala can be made smaller with minimal recovery time and very little risk.

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