Dear Lisa
Thank you for your email and questions.
Inverted nipples often occur following the birth of children- the cause for this is uncertain but may be due to shortening of the milk ducts.
In my experience the Nipplette is usually only effective for grade 1 inverted nipples. That is ones that come out and stay out for a period of time.
For grade 2 and 3 nipples the best solution is inverted nipple correction surgery. This is usually performed under Local anaesthetic and takes approximately 15 minutes per side.
If think you may wish to breast feed in the future it is sometimes possible to stretch the shortened ducts rather than divide them. By keeping them intact milk will be able to flow through them. There is however and increased risk of the inversion recurring if the ducts are not divided.
For grade 3 nipples or if you are not planning to breast feed a more reliable approach is to divide the ducts. This is again usually performed under Local Anaesthetic and involves minimal scarring and does not usually alter nipple sensation.
I hope this has been helpful- if you feel I can be of any further help please feel free to contact us again. Alternatively if you would like to schedule an appointment to discuss the options please contact us via the Website or by ringing 01844 2143662.
With best wishes
Mr Adrian Richards
Surgical Director