Yellowish Flakes on Nipples: Is It Normal?

Nipple issues

Due to the presence of fibrocystic breast changes and calcifications, I undergo an ultrasound examination annually and a mammogram every two years.
I had my examination in May of this year, and the report was normal.
I would like to know why there are light yellow flakes on my nipple, but when I squeeze it, no fluid comes out.
Is the light yellow flakes normal?

Cindy, 40~49 year old female. Ask Date: 2016/07/14

Dr. Wu Jianting reply Breast and Thyroid

The milk ducts in the breasts and the sebaceous glands in the skin can secrete substances that form scales.
If there is discharge upon squeezing, especially if it is fresh blood or dark fluid, or if there are ulcers or eczema present on the nipple, please visit a clinic for examination.
Thank you for your inquiry.

Reply Date: 2016/07/14

More Info

When it comes to the presence of yellowish flakes on the nipples, it is essential to understand the context and the normal physiological processes that occur in the breast tissue. Based on your description, the flakes you are observing could be attributed to several benign factors.

Firstly, the yellowish flakes could be a result of normal skin shedding or keratin buildup. The skin on the nipples, like any other part of the body, undergoes a natural process of exfoliation, where dead skin cells are shed. This can sometimes appear as flakes or crusts, especially if the area is dry or if there is a lack of moisture. Additionally, if you have a history of fibrocystic breast changes, this could also contribute to changes in the texture and appearance of the nipple area.

Another possibility is that the flakes are related to a condition known as seborrheic dermatitis, which is characterized by flaky, yellowish patches on the skin. This condition is generally harmless and can be managed with proper skin care, including the use of moisturizers or medicated creams if necessary.

It is also important to note that the absence of any discharge when you apply pressure to the nipple is a reassuring sign. Normal nipple discharge can occur due to hormonal fluctuations, but if there is no fluid present, it is less likely to be a cause for concern.
However, it is crucial to remain vigilant about any changes in your breast tissue, especially given your history of fibrocystic changes and calcifications. Regular monitoring through ultrasound and mammography, as you have been doing, is essential for maintaining breast health. If you notice any new symptoms, such as changes in the color or consistency of the flakes, any associated pain, or if the flakes persist or worsen, it would be prudent to consult your healthcare provider for further evaluation.

In summary, the presence of yellowish flakes on the nipples can be normal and may be attributed to skin shedding or benign skin conditions. However, ongoing monitoring and communication with your healthcare provider are vital to ensure that any potential issues are addressed promptly. If you have any concerns or if the flakes change in appearance or are accompanied by other symptoms, do not hesitate to seek medical advice.

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