Board for Questions / Answers about Nipple Inversion

This is the page where you can review questions and stories from patients, view the opinions of lay persons, and see answers from Dr. Bermant and other physicians. Do you want to ask a question, post an answer, or make a comment? Information E-mailed to me will be considered for posting.

Why did you choose to have the surgery? How did you choose your doctor? How much did it cost? Was the final cost the same as what you were told before the surgery? How was the recovery? Were there any complications? How were they resolved? How do you feel about the results?

Did it have any effect on your life emotionally socially sexually professionally How did others react to your surgery? Did you learn any lessons? What would you advise others?

Information posted in this section does not necessarily reflect the opinion of Dr. Bermant.

E-mail to Dr. Bermant

After Inverted Nipple Surgery By Dr. Bermant

Dear Dr. Bermant:

Thank you for my new nipples. Inverted Nipple Surgery was definitely worthwhile. I've always wanted it done. I thought about it for a long time until I was completely positive I wanted to do the surgery. It was not as bad as I expected it to be. There was very little discomfort. I was very comfortable.

I would recommend this surgery to other people bothered with inverted nipples. I would advise people to weigh the risks of any elective surgery, be positive you wanted to have it done, then have it done!

Surgery itself was pretty much painless. It is what I've always wanted done. Now that I had the surgery done, it doesn't change who I am, but it did build my confidence. It was definitely worthwhile. Definitely.

Dr. Bermant answers:

I am glad everything has worked out.

Michael Bermant, MD

Travel from Australia for Dr. Bermant Inverted Nipple Surgery

Very informative website

Hello Dr. Michael Bermant,

I read through your website with great interest.

I have inverted nipples, both sides - I'm guessing after looking at the various pictures on the website, they're between a Grade 2 & 3.

I think my mother had them too, but they disappeared, or should I say, turned into normal nipples, after she had me.

I am 32 years of age, and although they're more of an emotional/psychological (they're not the norm') problem for me, I am also worried about being able to breastfeed, as I plan on having my first child in around 3yrs time. My mother didnt breastfeed me, that was because I was born premature, 11 wks infact, and was whisked away to spend my first three months of life living in a humidity crib. Would this have anything to do with my nipples not forming properly?

I am happy to travel for the surgery.

I hope you can provide me with answers to my many questions.

Thank you for reading my email Dr. Bermant.

S

Dr. Bermant answers:

Thank you for your kind words about my Inverted Nipple Website. Inverted Nipple recurrence rate is close to 100% without nipple duct division for a Grade 3 inversion. It can be very high for a high grade 2. Breast enlargement, as what happens with pregnancy, can make inverted nipples disappear. If breast feeding is important, waiting may be a good choice. We see many patients from Australia and around the world who prefer my techniques and are glad to help you explore your concerns during a consultation or preliminary remote discussion.

Hope this helps,

Michael Bermant, MD

What Is Wrong With My Nipples?

Hello, ok.......my nipples have holes well...a little line that goes through the middle and i want to know what it it or what is wrong with them. When the r hard they become fater and poke out. don't mean to sound like that but i'm just telling u want is up with them. please email me back with what u think about it! Thank you for your time.

Dr. Bermant answers:

It sounds like it could be nipple inversion. Inverted nipples tend to retract and can form a slit or depression when retracted. Such problems come in different degrees or nipple inversion grades. In the milder forms, manipulation can make the nipple come out. Your concerns are best explored after an examination and evaluation.

Hope this helps,

Michael Bermant, MD

How to Get Inverted Nipples Fixed and How to Learn More?

I was born with inverted nipples. I would like to have them look normal. Could you do that type of surgury? Would you give me a free consultation? Can I get more information about how it would be done, the cost & the risks? Let me clarify that i am not interested in enlarging my breasts even though my size is only an A cup.
Thanks for your time,
K

Dr. Bermant answers:

Yes I do offer surgery for inverted nipples. I have been sculpting nipples for many years. The many pages on nipple inversion are but an introduction to what we offer. We are eager to help you explore your concerns, however, there is a fee for our consultations and preliminary remote packages. These consultations are with me and are quite extensive. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737.

Hope this helps,

Michael Bermant, MD

Inverted Nipples After Gynecomastia Surgery By Another Doctor

Hi Doctor Bermant

I have just come across your page, and have looked for any answers regarding my partners recent Gynecomastia .

It was his second surgery in 12 months. He had it redone by another surgeon since he was unhappy with the scarring and excess fat still left in him after the first expensive surgery. Now he has little scarring, no fat tissue left at all, BUT his nipples are INVERTED! His surgeon assures him that over time this inversion will rectify itself, and he will be absolutely normal again. But 3 months after the operation, we see no change.
Will the nipples come out again (as his doctor reassures) or will he be in yet another uncomfortable situation?! He never had inverted nipples to start off with.

Sincerely
L

Dr. Bermant answers:

Nipple inversion can happen in men after some techniques used for gynecomastia surgery. It can happen if too much tissue was removed just under the nipples or when nipple skin scars to deeper structures. Such scars can look worse on animation. That is why I have pictures of my chest sculpture both with arms down and elevated to demonstrate the nature of the tissues on movement before/after my surgery. Scars do evolve after surgery. The evolution depends on the original problem, what was done, and how a patient heals. 3 months is a little early for final evolution, it can take at least 6 months for some scars to soften.

Secondary surgery for gynecomastia can be more difficult and have a greater risk for such scars. It is easier to take away than put back. I have several examples of my techniques for such repeat surgery after operations by other surgeons. You can see on the many photographs before and after surgery.

I prefer primary chest sculpture that leaves a more natural contour. With my Dynamic Technique, I try to leave a layer of fat similar to the adjacent regions. When there is this layer of fat, adhesions are less likely to happen. Treatment options for male nipple inversion after surgery depend on many factors best explored during an in office consultation where the tissues can be examined. After another doctor's surgery, we are better able to understand a patient's needs at the time of a consultation if we can evaluate copies of operative reports, doctor's office notes, and photographs of the problem before surgery (when available). If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737.

Hope this helps,

Michael Bermant, MD

What Surgery Can Help With Inverted Nipples?

Hi Dr. Bermant,
I am a 32 yr old mum with 3 kids. I have inverted nipples and I am not happy about that. Is there any surgery that could help.
I would like to know.

Thank you.

Dr. Bermant answers:

Inverted nipples can have many possible causes. Surgical options depends on the problem which is best explored after an examination and evaluation. We are glad to help our patients explore such issues during consultations. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737.

Hope this helps,

Michael Bermant, MD

What is the Cost of Inverted Nipple Surgery?

Hello Dr. Bermant.
I suppose I could catogerize my problem as severe. Well, sometimes manipulation helps...but not long-lasting.And sometimes, manipulation does not help at all.

I was 67kg before and now I am 58kg. The weight loss have somehow affected my breast - they sag a little. Anyway, I was born with inverted nipples. During pregnancy (and lactation), I used a suction device ( a small one used with a syringe to suck the nipples out) but it could not last. And, I never could breast feed my babies directly because they have nothing to hold on to(although I used nipple shield to help me as well). The milk was pumped out and given in bottles.

I understand to correct the problem is through surgery. I dont mind bout the disability to deliver milk in the future because I dont plan to have anymore babies. What I am concern about is the cost. Could you kindly figure out the estimated cost for that kinda surgery. I really hope you dont mind because I think I am not being professional here. I apologize for that.

Thank you again,Dr. Bermant.
Bye.

Dr. Bermant answers:

Nipple inversion surgery costs depend on what needs to be done. Some patients with drooping breasts and inverted nipples prefer to lift the breasts and sculpt the nipples. Others prefer just to address the nipple inversion. Inverted nipple surgery costs can also vary. My office manager Jane can better answer cost questions. She can be reached during normal business hours 9-5 Eastern Time at (804) 748-7737.

Hope this helps,

Michael Bermant, MD

Is There a Surgical Procedure to Help With Inverted Nipples?

Hello
I don't know if this is an akward question but i'll ask it anyway. I have inverted nipples (instead of protruding out like most men they are inward) and wanted to know if there was a surgical procedure to correct this problem.?
Thank you for your time
M

Dr. Bermant answers:

Men can have inverted nipples. The causes can be the same as in female nipple retraction. New inversion, can be a concern since it can be a sign of cancer. For most men with nipple inversion, the problem is tissue under the nipple pulling it down. Treatment depends on the problem. When there is significant gynecomastia, surgery is often directed at both problems at the same time. Inverted nipple surgery is another option. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737.

Hope this helps,

Michael Bermant, MD

Low Self Esteem with Inverted Nipples - How Can Cosmetic Surgery Help?

i am a woman of 47 years, and my self esteem is low because of my breast....i have had inverted nipples all of my life and until just recently its really been bothering me...i was curious as to if there is a cosmetic surgery that i could get to correct the problem...any information you could suggest would be greatly appreciated...thanks

Dr. Bermant answers:

This web site is a good introduction to the education we help our patients explore about inverted nipple surgery during their consultations. There are graphic pages of actual during surgery photographs. However, the best place to learn about your concerns and options is during a consultation. Since we see patients from around the world, some prefer to start with our preliminary remote package. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737.

Hope this helps,

Michael Bermant, MD

How Long Is Inverted Nipple Surgery and What Is the Recovery Like?

i forgot to ask you about how long the procedure takes and the recovery period...the reason we are asking is we are going north in a few months on vacation and was wondering if that would be sufficient time to do this or not...if not i would have to know so that i could take more time off my job....thanks again....

Dr. Bermant answers:

Recovery after inverted nipple surgery is usually fairly easy after most surgery for inverted nipples. The nipples need some time to heal and the breast can be sore. It depends on the deformity, surgical technique, how you heal, and what activities you would like to do. Such issues are best explored after we know more specifics about your problem. A consultation or preliminary remote package is one way to learn about such issues. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737.

Hope this helps,

Michael Bermant, MD

Inverted Nipple Surgery

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