Inverted Nipples

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Care Plan for Flat or Inverted Nipples Care Plan Goals: • Identify if mother’s nipples are flat or inverted • Assist baby with latching onto breast and eating effectively • Increase mother’s comfort while breastfeeding, avoid pain How to tell if your nipples are flat or inverted • Flat nipples do not “stick out” from your breast • Inverted nipples appear to go inside your breast Everted Nipple Flat Nipple Suggestions for helping your nipples evert so baby can latch on Before breastfeeding: • Roll your nipple between your fingers to help it stick out • Follow steps below for Reverse Pressure Softening • Pump with an electric breast pump for a few minutes During breastfeeding: • A nipple shield may help your baby latch on more deeply. Talk with your Inverted Nipple nurse or lactation consultant about using a nipple shield. Make sure baby is breastfeeding effectively (See Signs of Effective Breastfeeding). If you have any questions, call the TriHealth Breastfeeding Helpline (513 862 7867 option 3). Reverse Pressure Softening Reverse pressure softening (RPS) is a technique used to help baby latch on when your nipples and areolas (brown area around your nipples) are swollen from engorgement. Reverse pressure softening will push the fluid away from your nipple and areola briefly so that your baby can latch on more easily. Follow these steps: • Place your fingers and thumb around the base of your nipple on the areola • Push back toward your ribs • Continue putting pressure on that area for 1–2 minutes (should not be painful) • You can repeat this technique and reposition your fingers farther away from your nipple on the areola if needed to relieve more swelling • When you remove your fingers and thumb, your baby should be able to latch on the softened area If you are still having difficulty, try pumping for– 1 2 minutes to relieve fullness Long Nails in nipples and areolas, then try latching baby on. TriHealth.com EPS4299 | 12 14.

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The Ins and Outs of Inverted Nipple Repair plasticsurgerypractice.com/2009/11/the-ins-and-outs-of-inverted-nipple-repair/ The proper appearance of the breast and the nipple can be very important to women and men alike. An inverted nipple, something that women may notice increasing at the onset of puberty, is something that can be rectified with a simple 15-minute surgical procedure. PSP recently spoke with M. Mark Mofid, MD, FACS, a plastic surgeon in La Jolla, Calif, about the various techniques of inverted nipple surgery as well as nipple reduction. Mofid is a staff surgeon at several California hospitals, including Scripps Memorial Hospital in La Jolla, Palomar Medical Center in Escondido, and Sharp Chula Vista Medical Center. In addition, he serves on the clinical faculty of the University of California, San Diego, Division of Plastic Surgery. He earned his undergraduate degree magna cum laude from Harvard University. He then attended The Johns Hopkins University School of Medicine, where he completed his medical degree training in general surgery and plastic surgery, and well as completed an advanced craniofacial research fellowship. PSP: How new is the inverted nipple procedure, and how popular is it? Mofid: Numerous techniques have been described over the last several decades for inverted nipple repair. In my own practice, at least one to two patients per month request this procedure. PSP: Are there different types of inverted nipple surgery and different ways of performing the surgery? Mofid: Virtually all techniques involve some variation of a release of the nipple from its basilar attachments. Fixation (whether internal or external) prevents the nipple from re-retracting during the healing process.
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