Inverted Nipple Correction (Korekce vpáčených bradavek)

Inverted nipple correction at MUDr. Kučerová's Brno clinic surgically releases the fibrous tissue bands that draw the nipple inward, allowing it to project naturally. The 20–40 minute outpatient procedure is performed under local anesthesia, meaning no general anesthesia or hospital stay is required. In mild-to-moderate cases the milk ducts are fully preserved; in severe inversions with extremely contracted tissue the ducts may need to be partially divided to achieve adequate projection — this is discussed during the pre-operative consultation. Silicone or gauze protectors are fitted immediately after surgery and worn for approximately two weeks to maintain the corrected position during initial healing.

Nipple inversion is classified into three grades based on severity. Grade I inversions can be temporarily reduced by manual stimulation and retain normal duct anatomy. Grade II inversions require greater effort to evert and may partially retract again. Grade III inversions are permanently inverted due to severely contracted fibrous tissue and, in women, may interfere with breastfeeding. MUDr. Lucie Kučerová performs the correction through a small incision at the base of the nipple, directly releasing the shortened connective tissue structures responsible for retraction. In grade I and II cases this can be accomplished while fully preserving the milk duct network — an important consideration for patients who plan to breastfeed in the future. Grade III inversions with severely contracted tissue require division of the connective bands at the cost of interrupting the milk ducts; this trade-off is explained in full during the pre-operative consultation, ideally scheduled after the patient has completed family planning. The procedure takes 20 to 40 minutes under local anesthesia and is performed on an outpatient basis at SurGal Clinic — no overnight hospital stay is needed. Topical anesthetic is applied first, followed by precise local infiltration to ensure comfort throughout. Sutures are absorbable and dissolve without a removal appointment. Silicone or gauze nipple protectors are applied immediately post-operatively and worn continuously for approximately two weeks to hold the corrected position while the initial scar contracts and stabilizes. At 20,000 Kč the fee is all-inclusive, covering the surgical consultation, the procedure itself, protector supplies, and the follow-up check at one week. The outpatient nature of the procedure means patients typically return home the same day and resume light daily activities within a few days. Sport and strenuous activity are restricted for four weeks. Contraindications include active pregnancy and breastfeeding; the procedure should be planned after the family is complete.