Areola Issues: Concerns for Teens with Inverted Nipples - Breast and Thyroid

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Areola issues


I am 15 years old and I am obese.
I have an inverted left nipple.
Recently, I noticed that both areolas have become bumpy and uneven, with small protrusions around the areolas.
What could be the issue?

Niming, 10~19 year old female. Ask Date: 2020/12/16

Dr. Yuan Tianmin reply Breast and Thyroid


There are naturally some small rough spots on the areola; these are the openings of the glands, so there's no need to be overly concerned.
You're 15 years old, so you shouldn't worry too much about your areola.

Reply Date: 2020/12/16

More Info


Inverted nipples and changes in the areola can be concerning for teenagers, especially during the developmental years when physical changes are prominent. At 15 years old, your body is still undergoing significant changes due to puberty, and it is not uncommon for adolescents to experience various breast-related issues.
Inverted nipples, also known as retracted nipples, occur when the nipple is pulled inward rather than protruding outward. This condition can be congenital (present from birth) or acquired due to various factors such as hormonal changes, trauma, or infections. In many cases, inverted nipples are not a cause for concern, especially if they have been present since puberty without any associated symptoms like pain or discharge. However, if this is a new development, it may warrant further investigation.

The appearance of the areola, including the texture and presence of small bumps, can also be a normal part of breast development. The small bumps you mentioned around the areola are likely Montgomery glands, which are normal sebaceous glands that help lubricate the nipple and areola during breastfeeding. These glands can become more prominent during puberty due to hormonal changes.

However, if you notice any changes that are unusual for you, such as significant asymmetry, changes in color, texture, or the presence of discharge, it is essential to consult a healthcare professional. They can perform a physical examination and provide guidance tailored to your specific situation.
Being overweight can also influence breast development and the appearance of the areola. Excess fatty tissue can lead to changes in breast shape and size, which may affect how the nipples and areolas appear. Maintaining a healthy weight through a balanced diet and regular exercise can positively impact overall health and may help with breast development.

It's important to remember that breast development varies significantly among individuals, and what you are experiencing may be entirely normal for your body. However, if you feel self-conscious or if these changes are causing you distress, discussing your concerns with a trusted adult or healthcare provider can be beneficial. They can provide reassurance, education, and, if necessary, further evaluation to ensure everything is progressing normally.

In summary, while inverted nipples and changes in the areola can be concerning, they are often normal variations in breast development. Monitoring any changes and seeking professional advice when necessary is the best approach to ensure your health and peace of mind.

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