As a board-certified plastic surgeon at Oregon Cosmetic and Reconstructive Clinic, I sometimes see patients with a complaint of  nipple retraction. I want to explain this condition in simple, clear language so you know what’s going on and how we can correct it.

Nipple retraction happens when the nipple pulls inward instead of sitting outward on the breast. It can appear gradually or be something you’ve noticed your whole life. While it’s usually not dangerous, it can affect how your breasts look and how confident you feel.

What Causes Nipple Retraction?

Several things can cause the nipple to turn inward.

Common causes include:

• Tight bands beneath the nipple that are shortened and connect the skin surface to the chest wall

• Shortened ducts that tether the nipple inward

• Natural development differences present since puberty

If nipple retraction is new or suddenly worse, I recommend an imaging exam like a mammogram to rule out medical disease.  You may want to see your primary care doctor about undergoing a study in this scenario.

First-Line Treatment: Gentle Stretching Devices

For first line treatment, I recommend a simple device that gently stretches the tight band beneath the nipple. This method helps release the inward pull over time, and many patients appreciate trying the least invasive option first.

These devices work by:

• Applying gentle suction

• Encouraging the nipple to stay outward

• Stretching the tight band little by little

While some patients see improvement, others may not get enough correction using this alone. When the band is firm or the retraction is moderate to severe, surgery becomes the more predictable solution.

In-Clinic Surgical Correction

When stretching isn’t enough, I can correct nipple retraction with a quick, in-clinic procedure at Oregon Cosmetic and Reconstructive Clinic. The entire visit usually takes about an hour, and most people return to work the next day.

Here’s how I perform the procedure:

1. Numbing the Area

I start by making the area completely numb using a small numbing injection. You stay awake and comfortable the entire time.

2. Releasing the Tight Band

Next, I make two small incisions at the base of the nipple. These tiny openings allow me to carefully release the tight band that is pulling the nipple inward.

3. Adding Support With Internal Stitches

I place a couple of internal dissolvable stitches to move nearby healthy tissue into the released area. This step helps:

• Prevent the band from reforming

• Support the nipple in its new outward position

4. Closing With Tiny Skin Sutures

I close the small incisions with a few fine dissolvable stitches on the skin.

5. Applying a Padded Dressing

A soft, padded dressing stays in place for 3 days to protect the area and support healing.

Recovery: Simple and Predictable

Most of my patients love how straightforward the recovery feels.

What to expect:

• Immediate improvement—the nipple sits outward right away

• Return to work: Usually after taking one day off

• Showering: Safe after the dressing comes off at 3 days

• Return to cardio exercise: After 4 days

• Minimal discomfort that improves quickly

If you’re also interested in related procedures—like breast lifts, revisions, or implant updates—many patients browse other pages on my site, such as: breast lift and breast reduction.

When to Seek an Evaluation

You should come in for an exam if:

• Your nipple retraction is new

• One nipple suddenly changes but the other doesn’t

• There is discharge, pain, or redness

• The nipple becomes tight, stuck inward, or harder to clean

I always begin with an exam and a conversation about your goals. From there, we build a plan together that fits your comfort level.

 

Final Thoughts

I see nipple retraction as something you don’t have to live with. Whether you’re looking for clearer answers or ready for a simple correction, I’m here to walk you through each step. Patients appreciate how quickly the procedure works and how natural their results look.