A mother of 2 in her mid 30’s who was bothered by a deflated appearance of her breasts after pregnancies as well as by an inverted nipple (retracted nipple) on her left. Nipple inversion is caused by tight breast ducts that pull the nipple in like a parachute cord. Nipple retraction has been classified by authors Han and Hong into three groups, I, II and III based on the severity of the inversion and fibrosis. A grade I nipple can be pulled out easily and maintains its projection without traction. A grade II nipple can also be pulled out manually but not as easily as the grade i and has difficulty maintaining its position, having a tendency to retract. A grade III nipple is difficult to pull out manually and usually requires a traction suture to resist the forces of fibrosis pulling it back in. This patient had a grade II to III nipple on the left. She is shown before and again, 8 months after bilateral breast augmentation and a closed inverted nipple correction using a micro incision technique. A tattoo has been blurred for her privacy. The photos are otherwise untouched.
A mother of 2 in her early 50’s who has been troubled by inverted nipples (retracted nipples) since her breast development. She is shown before and again, 6 weeks after closed inverted nipple treatment through a micro incision in the office under local anesthesia. The crusting and irritation of her nipples has resolved, and they have regained a normal appearance. Her nipple sensation remains intact.
A professional woman in her mid 50’s with a more than 25 year history of a retracted nipple on her left. Although she was able to manually manipulate this and breast feed her children, it has always bothered her. She is shown before and again, 7 weeks after a closed inverted nipple correction through a micro incision procedure under local anesthesia in the office. A plastic stent was worn to support the nipple correction for the first week. Her sensation has remained normal. She is thrilled to finally have a normal nipple.