Areola Indentation: Should You Be Concerned About Breast Health?

Q: Areola Indentation: Should You Be Concerned About Breast Health?

Dear Miss Mary： The retraction of the areola, without a history of tearing or laceration, requires further examination! This is because areolar retraction may be associated with breast cancer; however, it can also occur due to previous inflammation or infection. <br>Please visit

Inverted nipple?

Hello Doctor: I initially experienced unexplained pain at the junction of the areola and nipple on my left breast, resembling a tear, which gradually healed without further pain when I avoided touching the area.
Not long after, I noticed a significant indentation near the nipple on the areola, which has been present for several years but is not painful.
Last September, I also discovered a similar indentation on my right breast's areola, without any tearing or pain, just the indentation.
I am unsure if this is related to breast cancer and whether I need to undergo further examination.
Thank you for taking the time to respond.

mary, 30~39 year old female. Ask Date: 2010/05/21

Dr. Wu Jingtang reply Breast and Thyroid

Dear Miss Mary: The retraction of the areola, without a history of tearing or laceration, requires further examination! This is because areolar retraction may be associated with breast cancer; however, it can also occur due to previous inflammation or infection.
Please visit a breast surgery clinic for evaluation.
Wishing you safety and health.
Sincerely, Dr.
Wu Ching-Tang, Attending Surgeon, Taoyuan Hospital, Department of Health.

Reply Date: 2010/05/21

More Info

When it comes to breast health, any noticeable changes in the breast tissue, including the areola and nipple area, should be taken seriously. Your description of experiencing indentation in the areola, particularly if it has developed over time and is now present in both breasts, warrants further evaluation. While the indentation itself may not be painful, it is essential to consider the potential underlying causes.

Breast changes can be attributed to various factors, including hormonal fluctuations, benign conditions, or more serious concerns such as breast cancer. The fact that you previously experienced a tear-like injury that healed without further complications is a positive sign, but the persistent indentation could indicate a need for further investigation.
In some cases, changes in the areola or nipple can be associated with benign conditions, such as duct ectasia or periareolar abscesses. However, it is crucial to rule out more serious conditions, including Paget's disease of the nipple or inflammatory breast cancer, which can present with changes in the skin or shape of the breast and nipple area.

Given that you have noticed these changes over several years, it is advisable to consult with a healthcare professional, preferably a breast specialist or a general practitioner, who can perform a thorough clinical examination. They may recommend imaging studies, such as a mammogram or ultrasound, to assess the breast tissue more closely. These tests can help identify any abnormalities that may require further investigation or intervention.

Additionally, it is important to consider your overall breast health history, including any family history of breast cancer, personal history of breast conditions, and any other symptoms you may be experiencing, such as changes in breast size, shape, or texture, discharge from the nipple, or any lumps. These factors can provide valuable context for your healthcare provider when assessing your situation.

In summary, while the indentation of the areola may not immediately indicate a serious issue, it is essential to approach any changes in breast health with caution. Seeking a professional evaluation is the best course of action to ensure that any potential concerns are addressed promptly. Early detection and intervention are key in managing breast health effectively, especially when it comes to conditions like breast cancer. Remember, it is always better to err on the side of caution when it comes to your health.

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