Inverted Nipple Correction (Korekce vpáčených bradavek)

Inverted nipple correction at BEAUTY – plastická chirurgie surgically releases the shortened ductal or connective-tissue tethering that prevents nipples from projecting normally. MUDr. Šorma evaluates the degree of inversion pre-operatively — conservative options such as suction massage are recommended for mild cases, while surgical release is indicated for moderate-to-severe inversion that has not responded to conservative management. The procedure is outpatient and typically performed under local anaesthesia. Unilateral and bilateral options are available.

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 similar) have proven insufficient. 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 division of shortened ducts may affect breastfeeding capacity; this is discussed at consultation so the patient can make an informed decision about timing. The procedure is outpatient under local anaesthesia at the Poliklinika Trnová clinic. Both bilateral and unilateral corrections are offered; bilateral is the more common presentation for congenital inversion. Recovery is straightforward — the area is kept dry and clean, and normal daily activities can resume promptly. Follow-up visits confirm stable projection and wound healing.