Inverted Nipple Correction (Korekce vpáčených bradavek)

Nipple inversion is classified by degree: Grade 1 nipples can be manually everted and maintain projection temporarily; Grade 2 can be everted with some difficulty and retract readily; Grade 3 nipples cannot be everted at all and typically have shortened or fibrosed milk ducts pulling them inward. The majority of patients seeking surgical correction have Grade 2 or Grade 3 inversion — conditions where conservative suction devices (the Niplette system or…

MUDr. Šorma assesses inversion grade at consultation. For Grade 1 cases, conservative management with suction devices worn nightly for several weeks is often sufficient and preserves ductal integrity entirely; surgical correction is only recommended when suction therapy has not achieved lasting projection. For Grade 2 and Grade 3, surgical release of the fibrous and/or ductal tethering is the definitive solution.

The surgical approach is performed through a small incision at the base of the nipple. The shortened connective tissue bands — and, where necessary, the shortened galactophore (milk duct) branches — are divided to allow the nipple to project freely. The incision is closed with fine sutures and heals with a scar concealed in the areola-nipple junction, which is minimally visible when healed. Patients with congenital Grade 3 inversion should be aware that…