Symptoms
The primary symptom is the nipple retracting inward rather than pointing outward. Other possible symptoms, particularly with acquired inverted nipples, can include:
Pain or discomfort in the breast
Nipple discharge
Changes in breast shape or texture
A lump or thickening in the breast
Skin changes around the nipple
Causes
Congenital: Shortened milk ducts at birth are the most common cause.
Acquired:
Infection: Mastitis (breast infection), subareolar abscess.
Breast surgery: Scar tissue formation.
Ectasia: Milk ducts become blocked and filled with fluid.
Breast cancer: A tumor can pull the nipple inward.
Other: Weight changes, inflammatory conditions.
Medicine Used
There is no specific "medicine" to correct inverted nipples. Treatment depends on the underlying cause.
For infection, antibiotics will be prescribed.
If caused by breast cancer, treatment options could include surgery, radiation, or chemotherapy.
Surgery to lengthen the milk ducts can be done but is not always successful.
Precautions
If you notice a new or changing inverted nipple, especially if it's only on one breast, see a doctor immediately.
Perform regular breast self-exams to monitor for any changes.
Maintain good hygiene around the nipples and breasts.
If caused by breastfeeding with latch issues seek care with a lactation consultant
How long does an outbreak last?
There isn't an "outbreak" associated with inverted nipples themselves. If the inversion is caused by an infection, the infection's duration will vary depending on the severity and treatment, lasting from a few days to several weeks.
How is it diagnosed?
Physical Exam: A doctor will examine the breasts and nipples.
Medical History: The doctor will ask about any symptoms, family history, and other medical conditions.
Imaging Tests: Mammograms, ultrasounds, or MRIs may be ordered to rule out underlying causes such as tumors.
Biopsy: If a suspicious lump is found, a biopsy may be performed to check for cancer cells.
Timeline of Symptoms
The timeline of symptoms varies significantly depending on the underlying cause.
Congenital: Present from birth.
Infection: Develops over a few days, along with redness, pain, and swelling.
Cancer: May develop gradually over weeks or months, often with other breast changes.
Ectasia: Onset may be gradual and fluctuating with nipple discharge.
Important Considerations
New or unilateral (one-sided) inverted nipples should always be evaluated by a doctor.
Inverted nipples can sometimes make breastfeeding more challenging, but with proper techniques and support, it's often still possible. A lactation consultant can be very helpful.
Cosmetic surgery is an option for correcting inverted nipples, but it's important to understand the risks and benefits.
Self breast exams are important to detect changes.