If the nipple of an adult woman is trapped under the skin surface of the areola and does not protrude out of the plane of the areola, it is called nipple inversion. The degree of nipple invagination varies, some only show nipple invagination, and the most serious performance is nipple depression or even inversion. Nipple invagination not only hinders the beauty of the breast, but also hinders the lactation function, and it is difficult to clean locally. The concave part is easy to hide dirt and accept dirt, which often causes local infection. The mammary duct is connected with the concave part, and inflammation can spread into the breast, causing mastitis, which should be corrected.
Nipple invagination is invisible to outsiders, and it is uncomfortable for women to appreciate themselves. More importantly, nipple invagination itself is a kind of breast malformation, and some even are external symptoms of malignant tumors on the breast. Before puberty, women's breasts are undeveloped and their nipples are very small. After puberty, with the change of hormone level in the body, menstruation comes, breasts begin to develop, and nipples gradually increase and protrude. Although the nipples of unmarried women and pregnant women are small, they all protrude from the areola plane; If part or all of it is lower than the areola plane, or even sunken in the opposite direction, it will be trapped under the skin surface and form a local crater shape. This condition is nipple invagination (nipple depression).
In particular, some girls are shy about breast development, so they wear tight underwear to tighten their breasts, or wear a bra that is too small too early, and the developing breasts will be squeezed and flattened; At the same time, the poor blood circulation and insufficient nutrition supply of the oppressed breast will affect the normal development of the breast; The nipple is also deeply immersed in the breast due to being squeezed, forming nipple invagination (nipple depression).
Nipple invagination (nipple depression) varies in degree, and some only show nipple invagination, and the most serious manifestation is nipple invagination or even inversion. Clinically, nipple invagination can be divided into three types:
Type I: The nipple is partially invaginated and the nipple neck exists. The invaginated nipple is easily squeezed out by hand, and the size of the squeezed nipple is similar to that of ordinary people;
Type Ⅱ: All nipples are depressed in areola, but they can be squeezed out by hand. Nipples are smaller than normal, and most of them have no nipple neck.
Type ⅲ: The nipple is completely buried under the areola, and the invaginated nipple cannot be squeezed out. Nipple invagination (nipple invagination) not only hinders the beauty and lactation function of the breast, but also is difficult to clean locally. The concave part is easy to hide dirt and accept dirt, which often causes local infection. The mammary duct is connected with the concave part, and inflammation can spread to the breast, causing mastitis.
Nipple invagination is mainly congenital, but it can also be caused by trauma or surgery, breast tumor and fibroplasia after mastitis. Congenital nipple invagination is caused by poor development of smooth muscle of nipple and areola. These muscle fibers are pulled inward, and the lack of supporting tissue under the nipple forms nipple invagination. Generally, both sides occur at the same time, but also unilateral onset. The invaginated nipple can come back after being slightly squeezed or pulled, which belongs to mild nipple invagination. Congenital nipple inversion is more common in women who have no history of breastfeeding.
Secondary nipple invagination is common in breast diseases, such as breast cancer, often unilateral invagination. Don't underestimate acquired nipple invagination. You should go to a specialized hospital and do relevant tests, such as B-ultrasound and X-ray mammography, to rule out the possibility of breast cancer. There is another situation: eczema and itching around the nipple appear repeatedly and last for a long time. We should consider the possibility of paget's disease, which is a special type of breast cancer.
Correction and prevention of nipple depression
Straight breasts are the focus of women's beauty, and nipples are the "delicate points" in the focus. If nipple invagination (nipple depression) is found, women had better correct it in time. The following methods can be selected according to different situations.
The first is manual pulling. Adolescence is an important period of breast development and correction of nipple invagination. Often pulling the nipple can make the breast protrude, increase the supporting force of the surrounding skin, and play the role of "shaping". Several times a day. After a long time, the nipple naturally protrudes outward. If you can't pull it out, you can first push the skin near the nipple of the breast outward.
The second is suction therapy. After pregnancy, use a breast pump to suck the nipple several times a day, and use its negative pressure to expand the nipple.
Third, the use of nipple orthosis is to treat nipple flattening or depression.
Mothers, menstrual and other immediate family members who have nipple invagination should be the key prevention targets. After the birth of a baby girl with genetic tendency, the mother can gently pull the nipple outward, 1-2 times a day. Pay attention to the action must be gentle, it is best to ask experienced people to operate. In this way, we can see that the baby's nipple is mung bean-shaped or small round and higher than the skin, and the probability of nipple invagination is greatly reduced.
Second, pay attention to clothes. Close-fitting underwear should be made of cotton, changed frequently and exposed to more sun. If the nipple shows signs of redness and cracking, the underwear should be cooked and disinfected, and it is not too early for girls to use bras.
Third, prevent extrusion. Underwear and bra should be suitable, not too tight. For girls with big breasts, more attention should be paid to the looseness of breasts. For girls who have prone habits, it is necessary to correct them in time to prevent nipples from being squeezed, so as not to aggravate the degree of nipple depression.
Maternal women with nipple depression should pay special attention to the health care and hygiene of nipples after delivery. If the nipple is slightly sunken, appropriately increase the number of times the baby sucks, and at the same time pay attention to protecting the nipple, pay attention to cleaning after breastfeeding, and beware of infection. Once the nipple is red and swollen, you should go to the hospital for examination in time to prevent mastitis.
Harm of nipple depression
First of all, it hinders bodybuilding and affects breastfeeding.
Secondly, because the nipple is sunken, it is often forced to be pulled out when breastfeeding. At this time, the nipple is very delicate, and once it collides, it is easy to be damaged, broken and bleeding, which can cause infection of the nipple and even the whole breast, and eventually mastitis occurs.
Thirdly, nipple is a very important sexual sensitive point for women, and many women's sexual desire is realized through nipple stimulation. Once the nipple is sunken, it is difficult to play an effective role in sexual stimulation, and even affect the man's sexual desire.
Nipple invagination is mainly congenital, but it can also be caused by trauma or surgery, breast tumor and fibroplasia after mastitis. The main cause of congenital nipple invagination is the dysplasia of smooth muscle of nipple and areola. These muscle fibers are pulled inward, and the lack of supporting tissue under the nipple forms nipple invagination. Entrapment usually occurs on both sides at the same time or unilaterally. The inverted nipple can come back as long as it is squeezed or pulled slightly, which belongs to mild nipple inversion, also known as reversible nipple inversion. This kind of nipple invagination can be corrected by non-surgical conservative treatment, and the best time for treatment is before marriage or early pregnancy. Specific methods include manual traction and instrument traction.
Hand traction: squeeze the nipple out of the skin surface by yourself, hold the nipple horizontally or vertically with your thumb and forefinger, and pull the nipple outward continuously or intermittently for about 30 minutes each time, alternating sides. 3-5 times a day. Instrument traction: that is, using the negative pressure principle to suck out the nipple with a manual or electric breast pump, or sucking out the nipple continuously or intermittently, 30 minutes each time, alternating on both sides, 3-5 times a day. After two months, the above two correction methods can get good results.
Irreversible nipple inversion, that is, severe nipple inversion, can only be corrected by surgery. The operation is to completely loosen the invaginated muscle fiber bundle and fill the surrounding tissue under the nipple, so as to enhance the supporting force of the nipple and make the nipple bulge and plastic. Surgery is generally performed under local anesthesia, and there are various surgical methods, which can be selected purposefully according to specific conditions. The operation is carried out in the areola, which is small and will not leave obvious surgical scars. Under normal circumstances, it will not damage the sensory nerve of the nipple, so it will not hinder the normal feeling of the nipple after operation. Surgery generally does not destroy the mammary duct, so it will not cause breastfeeding disorders.
It is worth mentioning that after surgical correction of inverted nipple, there is still the possibility of recurrence. Therefore, 5-7 days after surgical suture removal, it is necessary to manually pull the nipple for 1-2 months, and if conditions permit, it can also be pulled with instruments to consolidate the curative effect and prevent the recurrence of nipple invagination.
It is reported that a female patient with severe nipple depression recently returned to normal after being treated with a nipple depression lifter invented by a burn plastic surgery department in a hospital. Congenital nipple depression seriously affects women's physical and mental health, and previous surgical methods usually cause mastitis, breast abscess and other phenomena. The director of the burn plastic surgery department of a hospital took the lead in developing and inventing the nipple depression and uplift device in the Asia-Pacific region. The nipple will use the principle of physical negative pressure. After three months of negative pressure, the nipple will protrude and return to normal. The handle is small and exquisite, and it does not affect the beauty of the chest at all when worn in a bra. The elevator has obtained the national invention patent.
Puberty-the best time to correct nipple depression;
The normal nipple is cylindrical, protruding about 1.5-2 cm from the breast plane, showing a nodular shape. If the nipple is not higher than the breast skin and is not pulled up, it is called nipple invagination. Although this disease has no direct influence on marriage, it will affect the emotional communication and life of husband and wife, and it is inconvenient to breastfeed after delivery, which is easy to cause local inflammation and eczema, and can cause mammary duct dilatation in severe cases. So adolescent nipple depression should be corrected in time. Go to the hospital to check that it is not mastitis or other diseases, and then try self-treatment:
First, you can pull out the nipple sunken in the breast by hand and fix it for a period of time. If this method doesn't work, try syringe aspiration. Prepare a pair of 10 ml plastic syringes, and remove the shell at the front of the syringes; Pull out the needle core, turn the syringe upside down, and align the opening at the rear end of the syringe shell with the concave nipple; Then insert the needle core from the cutting position at the front end of the syringe, gently suck it, and use the negative pressure of the syringe to suck out the sunken nipple and fix it for 5-6 minutes; 65438+ 0-2 times a day.
At present, there is a "nipple lifter" on the market, the principle is similar to the later one, but it can be fixed for a longer time and can be worn for life and work. When treating with booster, start inhaling 1-2 times a day for half an hour each time. If there is no reaction, the adsorption time can be increased. Generally, you can suck out the nipple in about 30 days, and then consolidate the treatment for 2-3 months.
Usually choose a bra that is not too tight and has nipple space to avoid nipple pressure. If the above treatment methods are ineffective, you can go to the plastic surgery department of the hospital for surgery, and the effect is also very good, which will not affect your future marriage and breastfeeding.