Nipple inversion or nipple retraction occurs when the lactiferous ducts (milk ducts) are too short or contracted. They will pull the central part of the nipple inward resulting in flat or indented nipples, appearing to be tucked in (tucked-in nipples). When the nipple retraction is severe, it can prevent natural nipple papilla erection. This happens when the erectile function of the nipple cannot overcome the internal pull of the ducts. Sometimes the inverted nipple will come out during nursing, as the result of the traction of suckling by the infant.
Two methods of surgical correction are available. One involves cutting the milk ducts and the other involves lengthening the milk ducts. The latter is preferable if the patient wishes to nurse a baby. With our method of lengthening the ducts, we are able to achieve a very high success rate without the inversion or retraction recurring.
Other nipple deformities include nipple duplication, or bifid nipples, displaced nipples (nipple dystopia), papilliform nipples (multiple projections), and extra nipples, or supernumerary nipples. In addition, nipple deformity or mal-development can occur with other breast deformities, such as Poland’s Syndrome, and a variety of chest wall deformities. Poland’s Syndrome is a severe deformity in which one side of the upper chest fails to develop properly and it affects the breast, the underlying muscle, and can even affect the upper extremity, including the hand.
One of the more common nipple anomalies is the extra, or supernumerary nipple. Nipples—and breast tissue as well—can occur anywhere along two imaginary ventral lines on the front of the body called the “milk lines.” The most common locations are just above the natural breast in the armpits (axilla). The next most common place is just beneath the natural breast (inframammary). They can be seen, however, all the way down to the groin. Supernumerary nipples and breast tissue occur when there has been an interruption of normal development in the human embryo and the nipples fail to disappear as they would normally do.
Most nipple and breast deformities can be corrected surgically. Special techniques have been developed to address the specific needs of each nipple deformity, and these are remarkably successful. Dr. Grant A. Fairbanks has extensive experience in correcting retracted or inverted nipples, supernumerary nipples, Poland’s Syndrome, and many other breast anomalies and deformities. If you need correction of a nipple deformity, be sure to contact us and schedule a consultation with Dr. Grant A. Fairbanks.
Dr. Grant A. Fairbanks is a graduate of Eastern Virginia Medical School in Norfolk, Virginia. He completed an internship in El Paso, Texas at William Beaumont Army Medical Center. Thereafter Dr. Fairbanks served as a General Medical Officer in the U.S. Military at Raymond W. Bliss Army Community Hospital at Fort Huachuca, Arizona. His training in both General Surgery and Plastic Surgery was completed at Lehigh Valley Hospital in Allentown, Pennsylvania, affiliated with Penn State University. He is board-certified by the American Board of Plastic Surgery, recognized by the American Board of Medical Specialties.
To further his training he accepted a fellowship in Craniofacial Surgery at Riley Hospital for Children at Indiana University in Indianapolis, Indiana.
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*All post-operative pictures are of real patients of Fairbanks Plastic Surgery. Identifiable images are used with patient or parent of patient permission.