Nipple invagination is a common nipple deformity, the cause of which is mostly congenital, and a few are secondary to infection, trauma, tumor and so on. The nipple invagination is difficult to clean, and it is easy to accumulate dirt and secondary infection, causing inflammation and hindering breastfeeding. Mild primary nipple invagination can be treated conservatively, such as negative pressure suction and manual traction. If you can't pull out the nipple by hand, you need surgery. Nipple invagination can be corrected by plastic surgery or nipple invagination appliance.
In particular, some girls are shy about breast development, so they wear tight underwear to tighten their breasts, or wear a bra that is too small too early, and the developing breasts will be squeezed and flattened; At the same time, the poor blood circulation and insufficient nutrition supply of the oppressed breast will affect the normal development of the breast; The nipple is also deeply immersed in the breast due to being squeezed, forming nipple invagination (nipple depression).
Nipple invagination (nipple depression) varies in degree, and some only show nipple invagination, and the most serious manifestation is nipple invagination or even inversion. Clinically, nipple invagination can be divided into three types:
Type I: The nipple is partially invaginated and the nipple neck exists. The invaginated nipple is easily squeezed out by hand, and the size of the squeezed nipple is similar to that of ordinary people;
Type Ⅱ: All nipples are depressed in areola, but they can be squeezed out by hand. Nipples are smaller than normal, and most of them have no nipple neck.
Type ⅲ: The nipple is completely buried under the areola, and the invaginated nipple cannot be squeezed out. Nipple invagination (nipple invagination) not only hinders the beauty and lactation function of the breast, but also is difficult to clean locally. The concave part is easy to hide dirt and accept dirt, which often causes local infection. The mammary duct is connected with the concave part, and inflammation can spread to the breast, causing mastitis.
According to relevant experience, for patients with mild nipple depression, as long as they insist on lifting every day, they can make their nipples protrude, which will not have much impact on normal breastfeeding. However, for patients with severe depression, it is difficult for babies to drink milk when breastfeeding even if they are stimulated and pulled because of the inverted nipple. It is suggested that this kind of patients do professional nipple inversion correction before pregnancy to prepare for future delivery and breastfeeding.
Generally speaking, regular unmarried and childless women in regular plastic surgery hospitals often take targeted surgical treatment for nipple invagination, such as subcutaneous prismatic resection. After local anesthesia, do some subcutaneous prismatic resection around the areola of the invaginated nipple, completely loosen and cut off the shortened fiber bundle, keep the mammary duct, and do circular purse-string suture around the base to prevent the nipple from retracting again. Pull the nipple and fix it, and suture the prismatic skin resection area around the invaginated nipple to form a new protruding nipple.