A flat or inverted nipple has been reported to occur in 10-20 % of the female population and rarely in males. This is a congenital problem that results from fibrosis and shortening of the milk ducts. It can occur in disease states such as breast cancer but this is much less common.
Nipple inversion can be constant but on many occasions nipples may evert during pregnancy, breastfeeding, cold or sexual arousal. Many women option for surgical correction if the nipple fails to protrude at all.
Surgical correction of the inverted nipple can be performed under local anesthesia on an out patient basis. The basic principles of the procedure involve the severing of the ducts that prevent the nipple from protruding. There are many surgical approaches to correction depending on the severity of the condition.
Prior to considering surgery a woman should be aware that if the milk ducts are severed she will not be able to breast feed. Also there is a remote possibility that there may be some loss of sensation in the nipple.
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