Nipple Inversion: Is It Normal? - Breast and Thyroid

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Hello, doctor?


Hello doctor, when I wear a bra, my nipples retract inward, but they come out when I shower.
When I don't wear a bra and just wear a shirt, they still come out.
They also retract when I lie flat.
The area around the areola feels soft to the touch.
I don't have any discomfort.
Is this normal?

Niming, 20~29 year old female. Ask Date: 2022/07/13

Dr. Yuan Tianmin reply Breast and Thyroid


A breast ultrasound examination should be scheduled to obtain the necessary information.

Reply Date: 2022/07/13

More Info


Nipple inversion, or the inward retraction of the nipple, can be a common occurrence and may not necessarily indicate a medical issue, especially if it is not accompanied by pain, discharge, or other concerning symptoms. In your case, it seems that your nipples retract when you wear a bra or lie flat, but they return to a normal position when you are not wearing a bra or when you are standing. This pattern can be quite normal for many individuals.

There are several factors that can contribute to nipple inversion. One of the most common reasons is anatomical variation. Some individuals naturally have nipples that are more prone to inversion due to the structure of the breast tissue and the surrounding ligaments. This can be particularly true for women with larger breasts, where the weight of the breast tissue can cause the nipple to retract.
Hormonal changes can also play a role in nipple appearance. For instance, during menstrual cycles, pregnancy, or breastfeeding, hormonal fluctuations can cause changes in breast tissue, leading to temporary inversion or changes in nipple sensitivity and appearance.
In your case, since you mentioned that there is no discomfort, pain, or discharge, and the inversion seems to be positional (i.e., it occurs when you wear a bra or lie flat), it is likely a benign condition. However, it is important to monitor any changes in your breast tissue or nipple appearance. If you notice any new symptoms, such as persistent inversion, changes in the texture of the breast or nipple, discharge, or pain, it would be advisable to consult a healthcare professional for further evaluation.

In some cases, nipple inversion can be a sign of underlying conditions, such as infections, ductal ectasia, or even breast cancer, particularly if the inversion is new or accompanied by other symptoms. Therefore, if you have a family history of breast cancer or if you are concerned about any changes in your breast health, it is always a good idea to discuss these concerns with your doctor. They may recommend a clinical breast exam or imaging studies, such as a mammogram or ultrasound, to ensure everything is normal.

In summary, nipple inversion can be a normal anatomical variation, especially if it is not associated with any discomfort or other symptoms. However, it is essential to remain vigilant about any changes in your breast health and to consult a healthcare provider if you have any concerns. Regular breast self-exams and routine check-ups can help ensure that any potential issues are caught early.

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