Dr. Martín Suárez · Breast surgery

Inverted nipples

A nipple may turn inwards during breast development or change over time. Before correcting its shape, we distinguish between a feature you have always had and a new retraction that needs investigating.

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Dr. Luis Martín Suárez, professional portrait at HC Marbella
Dr. Luis Martín Suárez
Plastic, Aesthetic and Reconstructive Surgery
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What we can improve.

We assess whether one or both sides are affected, whether the nipple comes out with stimulation and whether it retracts again. We also ask about discomfort, breastfeeding, previous operations and when the change appeared. The degree of retraction helps guide treatment.

If the inversion is new, especially on one side or alongside a lump, discharge or skin changes, the breast should be investigated first. By contrast, an inversion that has been stable for years can be assessed for correction if it bothers you, without assuming that surgery is necessary.

Options and scars.

Surgery releases the bands holding the nipple inwards and aims to support it so that it stays projected. In some cases, the milk ducts can be preserved; in others, the release required may affect them. The possibility of breastfeeding needs to be discussed before choosing the technique.

Treatment usually involves small incisions at the base of the nipple and can be performed under local anaesthetic in suitable cases. Non-surgical measures can also be considered for mild retraction. This is different from reducing an areola or lifting the whole breast.

What recovery involves.

The first few days

Tenderness, swelling and small crusts may occur during the first few days. The dressing protects the nipple's new position and prevents rubbing. We will explain how to wash and what bra or protection to use, without flattening the area or manipulating it to check the result.

Returning to your routine

Many gentle activities can be resumed early, but even a small wound needs time to close. Wound checks guide when direct pressure, exercise and contact with the area can be allowed. If combined with other breast surgery, the overall operation determines the pace of recovery.

How the result develops

The initial projection may change as swelling settles. Over the following weeks, we will check its stability and sensation, paying attention to the scar at the base.

Safety and possible risks.

The technique is chosen to preserve the blood supply and the tissue needed to keep the nipple projecting outwards. It can retract again, sensation may change, or the scar may be more visible than expected. Bleeding, infection and healing problems can also occur.

The effect on breastfeeding needs a specific discussion: even when we aim to preserve the ducts, their function cannot be guaranteed. Knowing your plans for having children helps us decide whether to operate now, wait or choose another approach.

What we will discuss.

  • When you first noticed the retraction.
  • Whether you would like to breastfeed in future.
  • Which technique would best preserve the tissues in your case.
  • How to protect the nipple during recovery.

Frequently asked questions.

Can just one side be corrected?

Yes, if assessment shows that this is sufficient. We compare its projection with the other nipple to plan the change.

Will I lose sensation?

Sensation may change temporarily and, occasionally, permanently. The risk depends on the degree of retraction and the work needed to release it.

If it appears suddenly, should I book a cosmetic consultation?

You should arrange a medical breast assessment to investigate the change before considering cosmetic correction.

Keep exploring.

Revisión inicial del contenido: Dr. Luis Martín Suárez · 2026-09-13

Timeframes are a guide. The technique, suitability and aftercare are agreed during consultation according to your case and progress.

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You can arrange an assessment in Madrid or Marbella. The location of surgery and follow-up are agreed when planning your treatment.

Madrid

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Clínica Castro Sierra
Juan Bravo, 49, 6th floor · 28006 Madrid

Consultation within Hospital Ruber Juan Bravo · Healthcare registration CH0017.

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