Visible Purple Veins Near the Nipple: When to Seek Help - Cardiology

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There are prominent purple veins near the side of the breast close to the nipple?


Hello, doctor.
In recent years, I have noticed a significant increase in blood vessels on the sides of both breasts near the nipples (approximately 1-2 cm) and there seems to be a trend of increase.
I would like to know if this is a normal condition or which specialist I should consult.

Niming, 10~19 year old female. Ask Date: 2023/02/11

Dr. Wu Xueming reply Cardiology


Please schedule an appointment with the breast surgery department.

Reply Date: 2023/02/11

More Info


Visible purple veins near the nipple can be a concerning symptom for many individuals, especially when they appear suddenly or increase in prominence over time. While it is not uncommon for veins to become more visible due to various factors, it is essential to understand the potential underlying causes and when to seek medical advice.

Firstly, the visibility of veins can be influenced by several factors, including hormonal changes, weight fluctuations, and increased blood flow. For instance, during pregnancy or hormonal changes related to the menstrual cycle, women may notice that their veins become more pronounced due to increased blood volume and changes in hormone levels. Similarly, weight loss can make veins more visible as the layer of fat under the skin decreases.

However, if you notice that the veins near your nipple are not only prominent but also changing in size, color, or associated with other symptoms such as pain, swelling, or skin changes, it is advisable to seek medical attention. These changes could indicate underlying conditions that may require further evaluation.

In terms of which specialist to consult, a good starting point would be to see a primary care physician or a gynecologist. They can perform a thorough examination and assess your symptoms in the context of your overall health. If necessary, they may refer you to a vascular specialist or a breast specialist for further evaluation.

During your visit, be prepared to discuss the following:
1. Duration and Changes: When did you first notice the veins? Have they changed in size or color?
2. Associated Symptoms: Are there any other symptoms present, such as pain, tenderness, or changes in the skin around the area?
3. Medical History: Any relevant medical history, including hormonal treatments, pregnancy, or weight changes.

In some cases, imaging studies such as an ultrasound may be recommended to evaluate the veins and surrounding tissues further. This can help rule out any vascular issues or other conditions that may be contributing to the visibility of the veins.

In summary, while visible veins near the nipple can be a normal variation, especially in response to hormonal changes or weight fluctuations, it is crucial to monitor any changes and seek medical advice if you have concerns. Consulting with a healthcare professional will provide you with the necessary guidance and peace of mind regarding your symptoms. Remember, early evaluation can lead to better outcomes, so don’t hesitate to reach out for help if you feel it is warranted.

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