Should You Be Concerned About Changes in Nipple Color? - Breast and Thyroid

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Hello doctor, I recently noticed that there is an area about 1/4 the size of the areola on the right side that has a skin color similar to hyperpigmentation.
I would like to ask if I need to get it checked? Thank you.

Liu Xiaojie, 30~39 year old female. Ask Date: 2021/09/26

Dr. Yuan Tianmin reply Breast and Thyroid


If the color of the areola continues to darken, consider visiting a breast clinic.
If it only happens occasionally, there is no need for concern.

Reply Date: 2021/09/26

More Info


Changes in nipple color, including the appearance of dark spots or areas resembling hyperpigmentation, can be concerning for some individuals. While it is important to remember that variations in skin pigmentation can occur naturally due to several factors, it is also crucial to be aware of any changes that may indicate underlying health issues.

Hyperpigmentation around the nipple area can result from various causes, including hormonal changes, skin irritation, or even friction from clothing. For instance, during pregnancy or hormonal fluctuations, many women experience changes in pigmentation, including darkening of the areola and surrounding skin. This is a normal physiological response and typically resolves after childbirth or hormonal stabilization.

However, if you notice a sudden change in color, especially if it is accompanied by other symptoms such as itching, pain, or discharge, it is advisable to seek medical attention. The presence of dark spots or patches could potentially indicate conditions such as dermatitis, infections, or in rare cases, skin disorders like Paget's disease of the nipple, which is associated with breast cancer. Therefore, any significant or sudden changes in the appearance of your skin, especially in sensitive areas like the nipples, should not be ignored.

In your case, since you mentioned a specific area around the areola that appears to have a dark pigmentation resembling melanin deposition, it would be prudent to consult a healthcare professional. A dermatologist or a healthcare provider specializing in breast health can perform a thorough examination and, if necessary, conduct further tests to rule out any serious conditions. They may also provide guidance on whether the pigmentation is benign or if it requires treatment.

In addition to seeking medical advice, it is essential to monitor the area for any changes over time. Take note of any new symptoms that may arise, such as changes in texture, size, or color of the pigmentation, as well as any discomfort or unusual sensations. Keeping a record of these changes can be helpful for your healthcare provider in making an accurate diagnosis.

In summary, while changes in nipple color can often be benign and related to hormonal or environmental factors, any new or concerning changes warrant a professional evaluation. It is always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas. Regular self-examinations and awareness of your body can help you identify any changes early, leading to timely medical intervention if necessary.

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