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Breast Procedure

Inverted Nipple Correction in NYC


What are inverted nipples?

Although this is a fairly common condition, inverted nipples can be embarrassing and leave a person feeling self-conscious in intimate situations. Depending on the degree of inversion, they can also interfere with breastfeeding. Inverted nipple correction is a simple surgical procedure to correct nipple inversion, with results that are immediate and long-lasting.

Also known as nipple inversion or retracted nipples, inverted nipples present as a condition in which the nipples are pulled into the breasts instead of pointing outward. This condition can occur in both women and men. In some cases, only one nipple is inverted. A person can be born with inverted nipples or develop the condition later in life.

What can I expect in an inverted nipple correction procedure?

  • This is a simple procedure that takes less than an hour and can be performed with the patient under local anesthesia. Inverted nipple correction can also be combined with other cosmetic procedures.
  • A small incision is made in the lower nipple, the nipple is lifted up, and the tethering tissue is released.
  • Vertical and horizontal dissolvable sutures are used to support nipple projection.
  • A protective device may be placed over the nipple for a few days after surgery to hold it in position and prevent retraction during the healing process.

What is recovery like after inverted nipple correction?

  • You can expect to have visible bruising and swelling, which should resolve within one to two weeks.
  • Avoid vigorous activities for one to two weeks after the procedure.
  • You can return to work the next day after inverted nipple correction surgery.

Why choose Dr. Darren Smith?

Dr. Smith treats patients in their 20s to 60s, of varying ethnicities, and from all walks of life. His practice provides the highest level of service and care in a friendly, comfortable environment with advanced safety protocols, personalized aftercare, and outstanding results.

Dr. Smith is a conservative plastic surgeon. He never simply jumps into surgery, instead taking the time he needs to fully assess the patient, his or her needs, and then develop the correct approach. He also takes the time to build real relationships with his patients.

His training and subsequent results are what sets Dr. Smith apart from other surgeons in the New York City area. He is a board-certified plastic surgeon who has completed fellowships in both aesthetic surgery and craniofacial surgery.

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Inverted Nipple Types

Inverted nipples are graded from mild to severe. The classification of your particular nipple inversion helps Dr. Smith determine which procedure is right for you. Regardless of the type of inverted nipples you have, Dr. Smith uses a unique artistic and technical approach to inverted nipple correction to render the best results.

Ideal candidates for nipple correction are the following:

Grade I: Mildly inverted nipples that come out occasionally without manipulation.

Grade II: Moderately inverted nipples that require applying pressure around the areola to evert them.

Grade III: Severely inverted nipples that do not come out at all, even when applying pressure to the areola.

Nipple Correction & Breastfeeding:

Dr. Smith’s patients often inquire about breastfeeding after getting an inverted nipple correction procedure.  It is important to realize that any  procedure to correct inverted nipples can potentially limit or eliminate your future ability to breastfeed. That being said, Dr. Smith will design your procedure in such a way as to maximize your potential for future breastfeeding. Women with more mild inverted nipple cases will have a greater chance of being able to breastfeed after inverted nipple surgery. Thesepatients can often have their issue corrected without destroying many milk ducts, thus preserving the potential for future breastfeeding. For moderate to severe nipple inversion, Dr. Smith may need to cut or divide the milk ducts to get your desired results, which could impact your ability to breastfeed. Before your procedure, Dr. Smith will carefully go over which type of approach will work best for your body, lifestyle, and future plans.

What To Expect On Surgery Day?

Inverted nipple correction is an outpatient procedure performed at  Darren M. Smith, MD’s plastic surgery center in NYC. The procedure takes roughly 30 minutes and is usually performed using local anesthesia or light sedation to ensure you’re perfectly comfortable. Once Dr. Smith releases the tissue responsible for pulling your nipple inward, your nipples will naturally protrude outward. Very fine stitches or other methods are used to hold (and keep) your nipples in their new everted position. Expect to have surgical dressings over your nipples following the procedure. The dressings should be left on (usually for 48 hours) to protect your nipples during the recovery period. Patients will return home the same day following the surgery. We do advise not driving after the procedure as you may be taking pain medication.

Inverted Nipple Correction Consultation in NYC

If you’re interested in having an inverted nipple correction procedure or want to learn more, we suggest booking a consultation with Dr. Smith. During your consultation, Dr. Smith will determine if the procedure is right for you. We would be happy to see you in the office or by virtual visit.


Will I still be able to breastfeed after inverted nipple correction?

Most likely, yes. In the past, nipple inversion surgery involved severing the milk ducts to release the nipple. Advanced surgical techniques today preserve the milk ducts and focus instead on releasing surrounding fibers holding the nipple in. The fibers are spread and stretched, not severed, through a small incision in the areola while the nipple is held in a projecting position.

Will I have scars after inverted nipple surgery?

Inverted nipple correction is a minimally-invasive procedure. Incisions are small and scarring is typically not noticeable. Incision lines are further disguised by the natural color variations and bumpy surfaces of the nipple and areola.

Are there non-surgical treatments for inverted nipples?

There are different levels of nipple inversion. Depending on the degree, non-surgical treatment may be an option in some cases. For example, a small fat graft, Juvéderm Voluma, or Radiesse may be injected under the nipple to help prevent it from contracting. In some instances, a small implant may be used as well.

What causes inverted nipples?

Inverted nipples are often congenital – present at birth. When they appear later in life, it may an indication of an underlying medical condition, such as:

  • Mastitis (infection of the mammary gland)
  • Duct ectasia (abnormal dilation of a duct in the breast tissue)
  • Abscess under the areola
  • Breast surgery complications
  • Breast cancer

Procedure Summary

  • Purpose Inverted nipple correction is a simple surgical procedure to correct nipple inversion, with results that are immediate and long-lasting.
  • Anesthesia This is a simple procedure that takes less than an hour and can be performed with the patient under local anesthesia.



Dr. Smith and his staff are absolutely incredible. They made me feel welcome, comfortable, and listened to from the moment I first arrived for a consultation, all the way to my surgery and afterwards. The care I received from Dr. Smith, Annalise, and Julia was exemplary. I am thrilled with the results of my procedure, and sincerely can't recommend them highly enough.


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All photos are of models except before and after images.

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