Bilateral Inverted Nipple Correction in a Young Working Professional

Patient identity withheld per confidentiality guidelines (referred to as Ms. A).

Ms. A, a 25-year-old unmarried working professional, presented with both nipples inverted. She was evaluated by Dr. Leena Jain at Plastikos Clinic, and on clinical assessment, the condition was diagnosed as bilateral inverted nipples.

Inverted nipples are a recognised congenital variation in which the nipple retracts inward rather than protruding outward from the areola. The condition can occur on one or both sides, and its degree can vary, ranging from a nipple that can be temporarily drawn out to one that remains persistently retracted. It is generally assessed on clinical examination, with attention to the retracting tissue bands beneath the nipple that are responsible for pulling it inward.

About Inverted Nipples and Surgical Correction (General Information)

An inverted nipple results from shortened or tethered ducts and fibrous bands beneath the nipple that draw it inward instead of allowing it to project outward. Correction surgery aims to release these tethering structures while preserving, as far as possible, the nerves and ducts responsible for sensation and lactation.

Surgical correction generally involves:

• Identifying and releasing the fibrous bands and shortened ducts beneath the nipple that are causing the inversion
• Preserving the surrounding nerve supply to maintain nipple sensation
• Preserving ductal structures where possible, to maintain the potential for lactation
• Supporting the nipple in its newly everted position, often with internal sutures, to help maintain the correction as healing progresses
• Closure of the small incisions used to access the retracting tissue

The objective of this surgery is to achieve a durable, natural-looking eversion of the nipple while preserving as much of its underlying function as possible.

Following clinical assessment, Dr. Leena Jain planned surgical correction for bilateral inverted nipples. The treatment plan included suture removal two weeks after surgery, in keeping with standard post-operative practice for this procedure.

As a general principle in inverted nipple correction, the surgical approach is guided by the degree of inversion and the need to balance release of the retracting tissue with preservation of nerve and ductal structures, so that sensation and the potential for lactation are maintained wherever possible.

The treatment carried out for Ms. A was surgical correction of bilateral inverted nipples, performed by Dr. Leena Jain at Plastikos Clinic/Lilavati Hospital.

How Inverted Nipple Correction Is Generally Performed

In general, this procedure follows a structured sequence:

• Small incisions are made to access the tissue beneath the nipple
• The fibrous bands and shortened ducts causing the inversion are identified and released
• Care is taken to preserve the surrounding nerves and, where possible, the ducts
• The nipple is supported in its everted position with sutures
• The incisions are closed

This general sequence reflects the standard approach to inverted nipple correction and is provided here as background information on the type of surgery performed for Ms. A, rather than as a detailed account of her specific operative course. Sutures were removed two weeks after the procedure, as per the treatment plan.

Outcomes at a Glance

The long-term expectation for this patient is retention of the nipple eversion, with adequate sensation and the ability to lactate.

The patient reported being very satisfied, and more confident to step into a relationship and enter marriage.

Profile: Female · 25 years · Young working professional
Procedure: Bilateral inverted nipple correction · Performed by Dr. Leena Jain · Plastikos Clinic/Lilavati Hospital

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