Nipple inversion is a common problem seen in 2 out of every 100 women and can be easily corrected with a surgical treatment. Nipple inversion should be treated because it aesthetically causes disturbances in many women and makes it difficult for the baby to catch nipple during breastfeeding. The cause of inversion may be infection or genetic. The stage of inversion determines the treatment process.
Nipple Inversion Treatment
The size of inversion should be clearly determined at the beginning of the treatment. In the first-degree nipple inversion, the nipple can be taken out by hand and it shortly collapses again. In the 2nd degree, the nipple cannot be comfortably taken out; even if it can be taken out, the nipple collapses immediately. The nipple cannot be taken out in the 3rd degree inversion. The 3rd degree also means that there are not milk ducts. Along with inversion, there is connective tissue instead of milk ducts and they take the nipple in. After nipple inversion surgery, breastfeeding function could be at risk. In addition, breastfeeding treatment should be preferred as an alternative treatment in inversion treatment. This treatment should be tried for breastfeeding problems at low level inversions. If the patient does not plan/expect to have children, the treatment can be started. It is necessary to decide on the consequences of the operation on breastfeeding instead of focusing on its risks prior to the nipple inversion surgery.
Nipple Inversion Surgery
The surgery is performed after determining the degree of inversion and trying alternative treatments. The milk ducts causing inversion are relaxed to increase range of motion in inversion correction surgery that is a short-time and easy operation. Curling of the milk ducts can be the cause of the inverted nipple. When the milk ducts are relaxed, elongation of the ducts occurs and the nipple inversion is corrected. The patient does not have to go through long recovery and resting period because the operation takes quite a short time. The patient is discharged on the day of operation performed under local anesthesia; if the operation is performed under general anesthesia, the patient is discharged one day after the operation. Feeling of numbness after surgery is temporary. Edema and swelling disappear in the first week after the operation.
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