A small procedure makes a big change in beauty and confidence.
These Inverted Nipple Correction before and after pictures represent actual patients from Dr. Kolker. They will help to assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome. Click on a patient for their specific case details.
“I was very uneasy speaking about what was bothering me, but upon meeting Dr. Kolker and listening to him explain his technique, he made me feel very comfortable and I had a feeling at that second that I could trust and believe in him. My inverted nipple was corrected successfully! It changed my life and the way I feel about myself.”
Many women have nipples that are inverted intermittently or constantly. Although common, inverted nipples are rarely discussed, as the condition is often a source of embarrassment and self consciousness.
Inverted nipples may be inverted to the same degree in both breasts; however there is usually some mild asymmetry with one inverted nipple that is more considerable than the other. Inverted nipples are caused by tight and shortened breast duct tissue. The inverted nipples can be corrected surgically by the release of the foreshortened ducts, in most cases with minimally invasive techniques.
After a careful history and examination, Dr. Kolker will carefully advise you on the procedure for the correction of inverted nipples that suits you best. There are three main types of nipple inversion: Grade I, where the inverted nipples come out occasionally without manipulation, Grade II, where the inverted nipples require manipulation to evert them, and Grade III, where the inverted nipples do not come out at all.
Many women have a combination of the above (for example, Grade I in one breast and Grade II in the other, or even normal in one breast and Grade III in the other)
The classification of your particular nipple inversion will determine the procedure that is right for your specific needs.
Occasionally, the more mild forms of nipple inversion will respond to non-surgical measures such as a course of "niplette" external suction, where a device is used at home to create a vacuum effect on the nipple, "pulling" it out over time). This is very rarely effective in Grade II and III inverted nipples, and only very occasionally in Grade I inverted nipples. Dr. Kolker will advise you on the surgical (Inverted Nipple Surgery), or non-surgical course that is most appropriate for you.
In the majority of cases, a minimally invasive technique is used, placing a tiny incision at the base of the nipple, which as it heals becomes virtually imperceptible. Through this incision, a microsurgical or very fine instrument is used to release the tethering fibers and foreshortened duct that hold the nipple in its inverted position. A suture is placed beneath the nipple to maintain its position.
Dr. Kolker's unique artistic and technical approach to inverted nipple correction can be found in his journal article "Minimally invasive correction of inverted nipples: a safe and simple technique for reliable, sustainable projection" developed and published by Dr. Kolker in the Annals of Plastic Surgery, May 2009. Our NYC Inverted Nipple Surgery procedure is performed safely, comfortably, and conveniently in our office-based surgical unit, accredited by the American Association for the Accreditation of Ambulatory Surgery Facilities (AAAASF). Local anesthesia is used most commonly. The duration of inverted nipple correction surgery is approximately one hour.
Following the correction of inverted nipples, recovery is rapid.
After receiving Inverted Nipple Surgery NYC patients may return to work the following day, and light cardio exercise may be resumed three days after the procedure. The main restriction is from compression for ten days to two weeks after the procedure, during which time you should not wear a bra; camisole tops or other non-compressive garments should be worn.