Inverted Nipples in Young Girls: When to Seek Help - Breast and Thyroid

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The little girl has inverted nipples?


Hello, doctor.
My daughter is currently in second grade and will soon be in third grade.
I noticed that she has inverted nipples since she was young.
Which specialist should I take her to see? (Her father's nipples are also inverted.) Thank you.

Cherry, 30~39 year old female. Ask Date: 2016/04/24

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear Cherry: You can consider seeing a plastic surgeon when you grow up (if you're concerned, you can consult a plastic surgeon directly).

Reply Date: 2016/04/24

More Info


Inverted nipples, or nipples that are retracted into the breast rather than protruding outward, can be a concern for many parents when they notice this condition in their children. In young girls, it is not uncommon for inverted nipples to be present, especially during childhood and early adolescence. This condition can be due to various factors, including genetics, hormonal changes, or simply the natural development of breast tissue.

Given that your daughter is in the second grade and will soon be entering the third grade, it is important to understand that breast development can vary widely among children. Many girls will experience changes in their bodies as they approach puberty, which typically begins between the ages of 8 and 13. During this time, the breast tissue may develop and change, and the appearance of the nipples may also evolve.

Since you mentioned that the father also has inverted nipples, it is possible that this condition could be hereditary. Genetic factors can play a significant role in the physical characteristics of individuals, including the shape and structure of the nipples. However, it is essential to differentiate between a benign condition and one that may require medical attention.

When considering whether to seek help, here are some factors to keep in mind:
1. Age and Development: If your daughter is approaching puberty, it may be beneficial to monitor her breast development over the next few years. In many cases, inverted nipples may resolve on their own as the breasts develop.

2. Physical Symptoms: If your daughter experiences any discomfort, pain, or unusual changes in the breast tissue, it would be advisable to consult a healthcare professional. Symptoms such as swelling, redness, or discharge from the nipple should not be ignored.

3. Psychological Impact: If your daughter expresses concern or embarrassment about her inverted nipples, it may be helpful to discuss these feelings with a pediatrician or a child psychologist. Body image issues can arise during this developmental stage, and addressing them early can help foster a positive self-image.

4. Consulting a Specialist: If you decide to seek medical advice, a pediatrician would be the appropriate first step. They can evaluate your daughter's condition and determine if a referral to a specialist, such as a pediatric endocrinologist or a pediatric surgeon, is necessary. These specialists can provide further insight into whether the inverted nipples are a normal variation or if they require intervention.

5. Education and Reassurance: Educating yourself and your daughter about breast development can help alleviate concerns. Understanding that variations in nipple appearance are common and often harmless can provide reassurance.

In conclusion, while inverted nipples in young girls can be a normal part of development, it is always wise to consult a healthcare professional if you have concerns. A pediatrician can provide guidance, reassurance, and, if necessary, refer you to a specialist for further evaluation. Monitoring your daughter's development and being attentive to any changes or concerns she may have will help ensure her well-being as she grows.

Similar Q&A

Understanding Inverted Nipples: When to Seek Medical Advice

I should have been more attentive during middle school... and it's still the same now. I'm hesitant... I have breasts, but my nipples are inverted. I'm a bit concerned now! Should I consider surgery or what should I do?


Dr. Xie Wenhuai reply Breast and Thyroid
Nipple inversion is caused by the pulling of the breast ligaments and is generally not a cause for concern. In boys, it is even less of an issue. In girls, surgery is only considered if it is related to breastfeeding factors.

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Hello, my friend is 16 years old and has inverted nipples. Could you please explain why this might happen? Is it a sign of any underlying condition? If she needs to get checked, should she go to a gynecologist? Thank you for your response.


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1. A 16-year-old girl has a concave breast, mostly due to congenital causes. 2. It is advisable to consult a general surgeon or a breast surgeon.

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Hello, doctor. I am currently 19 years old and have an issue with inverted nipples, which I first noticed during breast development in elementary school. However, I have not addressed it (I visited the hospital twice, but they advised me to wait and observe until I grow older, su...


Dr. Li Zhonghuai reply Surgery
Hello! With the presence of discharge and inversion, the first step is to rule out the possibility of a breast tumor. Although you mentioned, "I first noticed it when my breasts were developing in elementary school," and "my condition has progressed to a stage wher...

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Hello doctor, I gave birth to my second child at the age of 37. About six months after giving birth, I noticed that my nipples had become inverted. I did not breastfeed for either of my two pregnancies, and the inversion has persisted for about seven years now. Last March, I went...


Dr. Wu Xianghui reply Obstetrics and Gynecology
Please consult a breast surgeon.

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