Niplette Before And After Photos? All Answers

Women often ask for our help in treating inverted nipples. Sometimes only one nipple is inverted and your breasts can appear asymmetrical. When both sides are reversed, you may feel embarrassed about how your breasts look. In many cases, a simple office procedure can help.

What Causes Nipple Inversion?

Inverted nipples often develop when the ducts and tissues under the nipple shorten, forcing the nipple inward. The condition is usually painless, and some women’s breasts just develop that way. Nipple inversion can develop as a result of inflammation in the ducts under the nipple, after removal of breast tissue during a biopsy, or even after a breast reduction surgery. Very rarely, a new bulging nipple can be a sign of breast cancer. So if you notice a new change in your breasts, request a visit to your doctor right away.

Are there variations in nipple inversion and shape?

Some women have flat nipples, but they respond to cold or stimulation. Others have nipples that stay in most of the time, but can be pulled out with strong suction before retracting again. We also frequently see nipples tied so low down that they don’t come out at all.

What correction options are there?

Women with less inversion may try suction devices like the Niplette and see some improvement. However, this cannot be a permanent solution.

Inverted nipples can also be pulled out and pierced with a dumbbell-shaped piercing rod. Applying tension to the rod over time can stretch the support webbing. Some younger women take this approach to avoid breastfeeding disruptions.

The most predictable approach involves a minor surgical procedure that either stretches or cuts the cord of tissue that holds the nipple inward. We start by applying an anesthetic cream and then a local anesthetic. Once the nipple is completely numb, very small incisions are made at the base of the nipple and the tissue deep within the nipple is released while the nipple is held. A few dissolving threads close the tiny openings and hold the nipple out while it heals. You will wear a protective bandage for about a week and your nipple may be tender and bruised. This technique can affect your ability to breastfeed, so it’s important to keep this in mind when considering your timing and options. This small procedure is very effective in correcting inverted nipples with barely noticeable scars.

Inverted nipples can be corrected in the practice with a simple, effective procedure. To learn more, call Mountain Lake Plastic Surgery at (802) 231-4284 or fill out a contact form.

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Inverted or flat nipples

Prepared by Mary Marine

The size and shape of nipples and breasts vary from person to person and may change during breastfeeding. It is common for the nipples to gradually change shape during pregnancy and lactation, becoming more elastic and more prominent. When babies suckle at the breast, they stretch the nipple and surrounding breast tissue into their mouth. The more elastic or stretchy the nipple, the easier it will be for your baby to latch on. But even if the nipples don’t protrude any further during pregnancy, you can still breastfeed. These fluctuations often have very little to do with the baby’s ability to breastfeed as the baby holds on to the nipple and surrounding breast tissue.

If you have inverted or flat nipples, your baby may need more time and patience to breastfeed. A flat nipple lies flat against the breast tissue. Inverted nipples retract below the surface of the nipple. If you think your nipple might be inverted, try placing your thumb and finger on opposite sides of the areola (the darker area of ​​skin surrounding the nipple) and gently pushing inward. Sometimes the nipples can be partially inverted and look like dimples or wrinkles. Nipples that are severely retracted retract deeply when compressed or stimulated. A nipple that protrudes when stimulated will not be everted.

After your baby is born, your nipples may appear flatter than usual, but babies often lick the nipple to stimulate it before latching. Your nipples may also appear flatter if your breasts are very full or swollen.

Deep latching and a comfortable position help your baby latch and breastfeed effectively. In the beginning, the following techniques can help you start breastfeeding:

Place your baby on your chest in skin-to-skin contact immediately after birth. During early breastfeeding, continue to use Skin to Skin to soothe your baby and reduce frustrations during breastfeeding. Ideally, the nursing dyad stays together until both are released.

Being with your baby will help you recognize your child’s hunger signals.

Express a few drops of milk before breastfeeding so the milk is available when your baby latches on.

You can massage your breast while breastfeeding to help your baby get milk.

To evert the nipple:

Pull back the breast tissue to make the nipple protrude more.

Breastfeed in a relaxed or side-lying position, especially if you have large breasts.

A breast congestion can help make the nipple less protruding. Massage the nipple and nipple area to make milk flow back into the breast or leak out, softening the areola and everting the nipple. Also try reverse nipple softening. Reverse Pressure Softening uses gentle finger pressure around the base of the nipple to temporarily move some of the swelling slightly back and up into the breast.

Roll the nipple between your thumb and forefinger and immediately touch the nipple with a damp, cold cloth. Avoid making the nipple too cold as this can cause the nipple to go numb and prevent drainage.

Use a nipple and breast support to help nipple protrusion. Use both hands on each side of the breast to make a “sandwich” to pinch the nipple and areola together. Squeeze your chest with your hands like you’re putting a big sandwich in your mouth.

Use a breast pump for a few minutes to pull out the nipple. Suctioning a pump often causes the nipple to protrude further.

If you had help putting it on and have tried the tips in this article and your nipples are still sore, you should try a nipple shield. The nipple shield is a thin silicone device that is placed over your nipple and areola during breastfeeding. It looks like a hat with a brim. The nipple shield is a commercially manufactured product. A nipple shield can be used temporarily to encourage breastfeeding or, in some cases, to ensure breastfeeding continues. A shield provides a firm stimulus to a baby’s palate where the soft and hard palate meet. This can help your baby suckle more effectively.

Commercial products designed to assist in pulling out inverted nipples, such as breast shells or Everter, are best used only under the guidance of a trained lactation consultant.

If nipple pain occurs

You may experience nipple pain for about the first two weeks of breastfeeding as your flat or inverted nipple is gradually pulled out by baby’s sucking. This discomfort is generally the result of adhesions or skin attachments to underlying breast tissue. If the pain is severe or persists beyond the first two weeks, contact your doctor.

If your nipple retracts after feeding, that skin can remain moist, leading to skin tearing. After feeding, pat your nipples dry and apply a moisturizer suitable for breastfeeding. You can also wear breast cups or other devices to keep your nipple out between meals to allow the skin to dry.

If the nipples last longer

In rare cases, sore nipples can last longer because the adhesions are not stretched but remain firm. This can create a stress point that can lead to cracks or blisters.

If one breast is easier for your baby to grasp and is sucking well on that breast, you can continue breastfeeding on that side. You can pump the breast with the nipple deeply inverted until the adhesions break and the nipple is pulled out. Your baby will get all the milk he needs from one breast if he has unlimited and unrestricted breastfeeding time.

When both nipples are deeply inverted, you can pump both breasts at the same time for 15-20 minutes 8 or more times in 24 hours. You can use an alternative suction device to feed your baby until they latch on effectively and comfortably.

How long it takes to pump to pull your nipples out depends on the strength of the adhesions and the degree of inversion. One pump may be enough to fully pull out the nipple. If the nipple continues to indent deeply, you may need to continue pumping. If your nipple stays out after pumping, you can resume breastfeeding immediately.

Once your nipple can be properly pulled into the baby’s mouth and the baby is able to breastfeed effectively, you should be able to stop expressing and breastfeeding without discomfort.

In rare cases, persistent discomfort can also occur after the nipple has been pulled out. This could be due to the correction of the nipple.

The nipple may turn back if your baby pauses during feeding. In this case, you may need to stop breastfeeding and pump again for a few minutes before putting the baby back on the breast.

As a temporary transition to exclusive breastfeeding, breast compressions or the use of a nutritional supplement can help encourage continuous sucking and swallowing to help keep the nipple from everting as easily during breastfeeding.

If you encounter challenges while breastfeeding, the support of a La Leche League leader and other group meeting participants can help you overcome the challenges. (Find a leader or meeting.)

Additional Resources

Cotterman, Jean K., Reverse Pressure Softening, http://breastfeedingmadesimple.com/wp-content/uploads/2016/02/SimplerRPSsheet2.pdf

Cotterman, Jean K., Reverse Pressure Softening, http://www.breastfeedingonline.com/rps.shtml#sthash.2MPE4KHE.T3v63FBt.dpbs

Cotterman, Jean K. Engorgement Help: Reverse Pressure Softening

… a technique to aid in snapping when a nut is constipated, https://kellymom.com/bf/concerns/mother/rev_pressure_soft_cotterman/

Cotterman, Jean K. Reverse Pressure Softening, http://www.health-e-learning.com/articles/RPS_JCotterman_ver2005.htm

Genna, Catherine Watson, Supporting Suckling Skills in Infant Breastfeeding, C. Burlington, MA: Jones & Bartlett, 2012.

La Leche League Great Britain, Nursing Supplementers, https://www.laleche.org.uk/nursing-supplementers/

Mohrbacher, N. Breastfeeding Answers: A Guide to Family Support, Second Edition

(Revised February 2022)

The AVENT Niplette�

– Instructions for use of the Avent Niplette ORDER NIPLETTE HERE

Inverted or flat nipples are the result of short milk ducts (milk ducts). The Niplette is designed to lengthen these channels through gentle suction. It’s painless and easy to use. Until recently, the only effective way to correct inverted nipples was surgery, an expensive solution that eliminated breastfeeding forever. The Niplette quickly corrects inverted nipples and has proven to be a permanent solution for both cosmetic purposes and normal breastfeeding.

When can you use the Niplette?

The Niplette is suitable for correcting hereditary or puberty inverted nipples.

The Niplette is suitable for patients who have undergone unsuccessful cosmetic correction surgery.

The Niplette is NOT suitable for nursing breasts, however there is no harm in using the Niplette for a few minutes to pull out the nipple and help your baby latch on. NB: Use is not recommended in the last two months of pregnancy. DO NOT use on inverted nipples that develop later in life without medical advice. If in doubt, consult your doctor.

Instructions for use (see diagrams)

Apply the nipple ointment sparingly to the nipple and areola before applying the Niplette.

1 Push the syringe firmly into the open end of the valve.

2 Hold the Niplette over the inverted nipple with one hand and suck while pulling on the syringe with the other hand. Pull as tight as is comfortable. Don’t over-tighten – a small drop of the ointment at the base of the niplette will improve the seal and suction.

3 When the nipple is pulled out, release the Niplette, hold the valve and carefully separate the syringe from the valve.

You can now continue your daily activities with the Niplette. It is easily concealed under loose clothing.

� When using the breast shells for sore nipples, to prevent the Niplette from coming off, gently insert the tube into the hole of the Soft Shells and center the hole over the nipple, then cover with your bra.

To remove the Niplette, push the syringe into the valve to release the vacuum.

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Important information on using the Niplette

Ideally, for best and fastest results, the Niplette should be worn day and night as often as possible and at the maximum suction power you are comfortable with. One niplette is required for each inverted nipple. It is possible to wear the device overnight provided you do not sleep on your stomach and it may be comfortable to wear a loose-fitting bra. The shells also help stay in place while you sleep.

� To avoid soreness or nipple soreness, start with wearing for just a few hours with minimal suction and build up as tolerated.

With regular use, the teat should fill the mold within about three weeks. Continue using the Niplette until the nipple no longer retracts. The use of the Niplette can then be reduced. Any initial tendency to retract is easily overcome with intermittent use.

Some people may notice a small amount of discharge from their nipples, this is perfectly normal.

If necessary, the Niplette can be cleaned in warm soapy water. DO NOT sterilize.

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Helpful suggestions when using the Niplette

More information about the Niplette

Order Niplette online

Order Niplette by phone or email

Is that worrying? White patches on your nipples may look unusual but are usually not a cause for concern. Often they are caused by a blocked pore (blister), a harmless condition caused by a buildup of dried milk in your nipple. Read on to learn more about what can cause white spots on your nipple and when to see your doctor.

1. It’s usually a clogged pore or duct. When you breastfeed your baby, milk flows from your nipples through openings called pores. Sometimes a glob of hardened milk can clog a nipple pore. This is called a milk blister or a blocked nipple pore. When your skin closes over the pore, it forms a milk blister. The ducts behind the nipple can also become clogged. These are called blocked or blocked milk ducts. A blister or blister can create the white spot you see on your nipple. Sometimes the spot is light yellow or pink, and the skin around it turns red. Blisters and blisters can be very painful. The pain may feel like a stinging or stinging. The pressure of your baby sucking on your nipple during breastfeeding will usually release the blockage. A blockage that doesn’t go away can lead to a breast infection called mastitis. What you can do If the blister does not go away with breastfeeding, you can gently loosen the plug with a warm, wet compress before breastfeeding. Under the supervision of your doctor, you can open the pore with a sterile needle. After the pore opens, squeeze your chest to empty the pore. Learn how to safely treat and prevent milk blisters in the future.

2. Milk Drainage Failure to fully drain your breasts while breastfeeding can also lead to clogged nipple pores. If you frequently switch your baby to the second breast before she’s finished with the first breast, you may be developing a plug. Missed feedings and poor latching can also cause this problem. Women who produce a lot of milk are more likely to have clogged pores than women who produce less milk. What you can do Breastfeeding more often can help prevent clogged milk pores. Start your baby on the affected breast first. If you cannot breastfeed for a few hours – for example at work – express your breast milk. These blocks should go away after you’ve breastfed for a few weeks.

3. Breast Pressure Wearing a tight bra puts pressure on your breasts, which can block milk flow. Underwired bras are more likely to cause clogged pores than non-wired bras. Wearing a very tight baby carrier or a seat belt around the chest can also cause this problem. What you can do Avoid tight bras and other clothing to prevent clogged pores. Check out our tips to find the perfect fitting bra.

4. Pregnancy The nipples undergo several changes during pregnancy. You may notice small bumps around your areola, which is the colored part of your nipple. These bumps are Montgomery tubercles — glands that release substances to lubricate your nipples and alert your baby when it’s time to eat. Hormonal changes during pregnancy can cause these glands to enlarge. They are nothing to worry about and will go away once your hormone levels return to normal.

5. Thrush Thrush is an infection caused by the fungus Candida albicans. You can develop thrush on your nipples if you or your baby have recently taken antibiotics or if you have vaginal thrush. In addition to the white spots, your nipples will be red and very painful. Thrush is highly contagious, so you can pass it on to your baby and vice versa. It shows up as white, cheesy patches along the inside of your baby’s mouth. Babies with thrush may cry out in pain when trying to cling to the breast. What to do If you suspect you have thrush, see your doctor. They can prescribe antifungal and oral medications to treat your thrush. Your baby will also need to be treated with an antifungal gel or drops. Wash your bras often and keep your breasts dry while being treated. The fungus that causes thrush thrives in moist environments.

6. Herpes Although the herpes simplex virus typically infects the mouth and genitals, it can also affect the breasts. Normally, herpes in the breast is passed from her infected newborn to the mother during breastfeeding. Herpes looks like small fluid-filled bumps and redness on the nipple. As the bumps heal, they form scabs. Your baby could have the same bumps on the skin. What to do If you think you have herpes, see your doctor. You need to take antiviral medication for about a week to clear the infection. Express your breast milk until the sores have healed.

is it cancer White spots on your nipples are usually nothing to worry about. But rarely could they signal cancer. The blocked pore could be caused by a tumor pressing on the milk duct. Bumps and other changes in the nipples can also be a sign of Paget’s disease, which affects 1 to 4 percent of women with breast cancer. In Paget’s disease, cancer cells form in the milk ducts and areola. Symptoms include: redness, scaling, and itching in the nipple and areola

Flaking or crusting of the nipple skin

flattened nipple

yellow or bloody nipple discharge If your symptoms don’t go away after a week or two, see your doctor for an exam. Doctors diagnose Paget’s disease with a biopsy. A small sample of cells is taken from the nipple and sent to a lab for examination under a microscope. The main treatment for Paget’s disease is surgery to remove the affected tissue.

After a few weeks of continuous wear, the nipple remains erect. Ideally, use it before pregnancy. However, you can also use the Nipplette during the first six months of pregnancy to achieve permanent correction. Any nipple eversion that is not congenital but has occurred recently should be checked out by a doctor immediately before using the Niplette. It is not recommended to use in the last trimester of pregnancy. You should also not use Niplette on nursing breasts. This is because the product cannot be sterilized, which increases the risk of infection.

More than 1 in 10 women have flat or inverted nipples.

Flat or indented nipples can make breastfeeding difficult because your baby may have trouble latching.

If you have flat or inverted nipples, a simple suction device called a nipple corrector is a non-invasive, small, and convenient tool that gently pulls out the nipples for easy baby latching and continued breastfeeding.

It is an inexpensive and non-invasive method to pull out the nipple.

Nipple correctors work by applying pressure around the nipple, forcing it forward and making it stay erect for long periods of time. They are definitely worth a try if your baby is having trouble holding on because of your nipple shape.

What are inverted nipples?

Inverted nipples do not harm your body, so treatment is not necessary. If the appearance of inverted nipples bothers you, there are options that don’t involve surgery, such as everting devices and injection treatments.

You may not be able to tell if you have inverted nipples just by looking at them. You can perform a “pinch test” by gently squeezing the areola about an inch from your nipple. Your nipple should stand up. If not, it is considered flat. If your nipple retracts, it is an inverted nipple.

If your nipples become erect when exposed to cold or stimulation, they are not considered inverted. Truly inverted nipples do not respond to these types of stimuli. It is important to note that only one nipple can be inverted while the other can be normal.

Still, you may worry about the appearance of your nipples if they look inverted. In many cases, the nipples are dimpled. This means they appear flat or inverted, but respond and straighten up when cold or stimulated.

More than 1 in 10 women have flat or inverted nipples.

Flat or indented nipples can make breastfeeding difficult because your baby may have trouble latching.

If you have flat or inverted nipples, a simple suction device called a nipple corrector is a non-invasive, small, and convenient tool that gently pulls out the nipples for easy baby latching and continued breastfeeding.

It is an inexpensive and non-invasive method to pull out the nipple.

Nipple correctors work by applying pressure around the nipple, forcing it forward and making it stay erect for long periods of time. They are definitely worth a try if your baby is having trouble holding on because of your nipple shape.

“Nipple surgery” is an umbrella term for a wide range of treatments. Nipple lifts create small flaps around the actual nipple that push it up and out, and asymmetrical nipples can be corrected. The areola (the pigmented part around the nipple area) can be tattooed if you are not happy with the color of your nipple.

The most common nipple correction procedure is the correction of inverted nipples. They can cause functional problems in women and affect self-esteem.

Anyone can get inverted nipples. In fact, about 10% of the population has it in some form! The condition has a hereditary aspect, so we realize that the problem can run in families. Fortunately, they can be corrected quickly and easily under local anesthesia.

There are three grades used to measure the severity of inverted nipples:

Grade One – These nipples are occasionally inverted but become erect spontaneously. Nipple repair surgery is not required.

Grade 2 – Nipples are not spontaneously erect but can be pulled out manually. Patients can benefit from surgery.

Grade Three – This is the most severe category. The nipples cannot be extracted manually and therefore surgery is the only option available for patients wishing to have them corrected.

So can you breastfeed with inverted nipples and can you breastfeed after inverted nipple surgery?

That’s a question we get asked a lot here at Refine Clinic.

You may be able to breastfeed with grade 1 and 2 inverted nipples. However, with grade 3 nipples, it is highly unlikely that you will be able to breastfeed.

Breastfeeding after surgery depends on the technique used. For this reason, it is very important that you get detailed information from your nipple repair surgeon about what technique will be used and whether it will affect your milk ducts.

There are two common techniques used for nipple repair surgery; a stretching technique and a splitting technique. The stretching technique will keep your milk ducts intact, so you will most likely be able to breastfeed.

For women with grade 3 nipples, most surgeons use the splitting technique. This means the channels are split and you cannot breastfeed.

Nipple surgery can reduce the amount of milk a mother can produce, but it’s important to know that there are many ways you can increase your milk production.

Many mothers can successfully breastfeed without full milk production. There are ways to increase milk production through a mix of techniques such as pumping, breast compression, and galactagogues. There are products on the market that supplement your natural milk supply.

If you would like to speak to someone about this procedure, contact Refine Clinic and make an appointment for a free consultation. Call us on 1300 116 492 if you need more information.

By Manuela Matt