Drawn papilla. Reasons women, girls, teens, how to fix, get rid, how to feed the baby, photo

Nipple on the breast in women perform one main function - feeding a baby. If there are deviations in shape (drawn, flat or elongated) have difficulty performing this task.

Custom views of the nipple may be a feature of the physiological structure, the result of an injury or a symptom of the disease. Therefore, before restoring its natural form is required to identify the cause of abnormal structure.

Reasons retracted nipple adolescent girls, women

Abnormalities in the structure of the nipple to the breast in females may be due to physiological or pathological factors:

natural feature	abnormalities
Especially breast development (in adolescents). After the formation of the glands form can acquire a normal appearance.	Injury to the breast, especially in the period of their growth. And also poorly plastic surgery.
Congenital abnormalities in the formation of the glands.	The incomplete development of the ducts in the mammary glands. It can be a complication of severe diseases transferred during the formation of the breast.
Predisposition to genetic level (presence of inverted nipples in the mother, grandmother, aunt).	Cancer or benign tumors in the mammary glands.
Tight or uncomfortable bra cups.	Inflammation of the breast (mastitis).
Age drooping breasts.	Tuberculosis of the breast.
The rapid increase in breast during pregnancy or puberty.	The expansion of the milk ducts. The pathology may be associated with subsequent shortening ducts retracting nipple.
Long-term breastfeeding.	Dermatological pathology.

A teat (retracted) can be either on one breast, or both. Physiological and pathological changes caused by changes in the milk ducts of length (it stands for the milk during lactation), which are connected to the nipple.

symptoms pathologies

Drawn papilla (the reasons women can be identified by the presence of additional symptoms) characterized by the external shape of the breast changes - nipple is at the level of ghosting or drawn inward.

Signs of disease depends not only on provoking factors, but also on the form of disease severity. To determine the degree required retracted clamp fingers (thumb and forefinger or middle) in the chest near the nipple area, at a distance approximately 2 cm.

Characteristics of severity:

1. After compression and compressions nipple becomes natural shape and keeps it for a short period of time. Next nipple again becomes drawn look. This form does not interfere with breastfeeding the baby.
2. bulges and immediately retracted after completion of the procedure at his fingers manipulating the nipple hard. When 2 degrees breastfeeding difficult.
3. The nipple does not respond to squeezing fingers and other stimuli. In this form of breast feeding is not possible.

Check the degree should be retracted on both breasts. especially important procedure in the presence of "dangerous" symptoms that may characterize the onset of pathology.

Warning Signs:

• the nipple is pulled and stretched without provoking factors;
• redness, swelling and tenderness of the peripapillary region;
• presence of secretions from the nipple of a different nature (transparent, yellowish or purulent fluid);
• flaking or roughness of the skin okolososochnyh
• chest pain during the mammary ducts (breast swelling and sensation of gravity).

Guard woman should juice retracted after piercing the plastic or medical operation on the chest (even without the presence of additional features).

Consequences and complications

Inverted nipples are not only an aesthetic discomfort.

Pathology may be accompanied by the development of the following complications:

• impressionable girls and women may develop an inferiority complex with subsequent breach of the psychological balance;
• deterioration of sexual attraction. Located on the nipple erogenous zones, which are responsible for sexually excited, it is also present and psychological discomfort. Lack of sex can trigger the development of abnormalities in the reproductive organs and lead to hormonal malfunction;
• difficulties in breastfeeding and breast pumps surplus milk. The latter can lead to the development of mastitis;
• accumulation of secretions of sweat and dust in small folds formed retracted nipple. This can lead to the development of inflammatory processes in the breasts;
• soreness of the nipple at its output (typical for 1 and 2 degrees of severity).

Even if the nipple is retracted due to physiological characteristics, it is recommended to be screened in mammalogy and if possible restore the natural shape of the nipples.

What to do when inverted nipples?

The drawn papilla (the reasons for women and girls can be detected only after the inspection and diagnosis) is not only a cosmetic defect but also poses a threat to the natural feeding and may signal the presence of disease. Therefore, it is important to quickly identify the nature of the deviation and make the nipple / nipples natural look.

In the presence of inverted nipples is required to produce a self-test to determine the severity of the disease. Further needed to identify the presence of additional symptoms (pain, the presence of selection and condition of the skin on the chest).

After the home inspection is required diagnostic passage of the specialists to identify the nature of Inverted nipples and determining treatment.

At 1 and 2 degrees of severity (at the physiological nature of the deviation) may defect eliminating method manipulation, the use of special pads or vacuum correctors. If grade 3 to return the natural shape of the nipple can only be surgically (while maintaining the possibility of breastfeeding and without saving) or piercings.

When inverted nipples due to the development of a form of the disease can recover on their own, after the cause. It is important when planning pregnancy followed by breastfeeding pathology need to be addressed in advance.

Instrumental and other diagnostics Inverted nipples

To determine Inverted nipples with a specialist following methods of inspection are made:

1. Visual inspection. Pathology is visible to the naked eye.
2. Verbal information collection: the presence of abnormalities in the closest female relatives, predisposition to cancer diseases, whether in the recent time, injury or surgery, was not whether hypothermia (Especially breast).
3. Identification severity of pathology by palpation.
4. Inspection of the lymph nodes in the underarm area.
5. Letting assays for the detection of inflammatory processes and determine the general state of the organism.
6. Taking a scraping from the nipple area and allotments (if any).
7. To identify tumors and mammary ducts used state diagnosis using: X-ray, ultrasound, MRI, color Doppler mapping, CT with contrast medium.

In case of suspicion of malignant tumor sample is made for tumor markers.

operative therapy

The operation of the normalization of inverted nipples is required in the following cases:

• bezoperativnye methods do not produce results;
• a woman has 3 degree of inverted nipples;
• planning pregnancy followed by breastfeeding in the near future;
• It requires removal of tumors (of any kind).

The operation allows to quickly restore the natural shape of the teats with a low probability of recurrence. In therapy without surgery, treatment may take a few months, the probability of drawing the nipple low, there is a high risk of disease returning.

Training

Before surgery the patient should be trained:

1. The completion of the survey: to identify the causes of inverted nipples, specimen collection, the definition of the general condition Patient exclusion of contraindications for surgery, the determination of a possible allergic reaction to the anesthetic facilities.
2. For 5-7 days before surgery is required to give up drinking alcohol, smoking and certain medications (negotiated by the surgeon).
3. The last meal should be no later than 14 hours prior to surgery.

During the preparation of physician voiced the possible complications and the rules of conduct in the post-operative period. Also specifies the type of operation (retaining breastfeeding ability or operation without saving the milk ducts).

As the operation is performed?

Surgery is performed under local or general anesthesia (selected as desired by the patient, and on indications). The treatment lasts on average 90 minutes.

When selecting operation while maintaining operation of the mammary ducts surgical incision is made near the base of the nipple by an areal region. Further lifting and produce rectification teat tissue dissection Waist nipple and the milk ducts. Upon completion of the overlap joints.

Operation efficiency is 75%.

In operation without saving breastfeeding is possible to produce a similar cut at the base of the nipple. Cut short the milk ducts and tissue, Waist nipple inside. This allows you to restore the natural shape of the nipple. At the end closed with stitches. The effectiveness of surgery is 95%.

recovery period

rights in the recovery period, increases the effectiveness of surgery and minimizes the risk of complications.

During the 30 days after surgery is required:

• okolososochnuyu protect the region from mechanical injury and irritation;
• night stay is allowed only on the back;
• for timely disinfecting treatment to prevent penetration of the infection into the seam. And also use external and oral means prescribed by the doctor;
• visit saunas, steam baths and other warming up procedures are prohibited until the full restoration of the breast;
• for a period of healing seam prohibited from using cosmetic creams on the chest;
• bra should be made of natural materials and do not compress the chest. it is desirable to change daily;
• not to irritate the nipples and peripapillary area during sex. Within 7 days after the operation the proximity advised to abstain. Since sexual caresses provoke nipple stimulation, which will worsen the recovery process.

During the recovery period are forbidden exercise. If necessary, the doctor is given a reference to an easy labor (for the employer). If redness observed in the weld zone, fever or severe pain, it is recommended to urgently go to the clinic.

Contraindications

Before choosing a recovery nipple surgically specialist to diagnose the presence of contraindications:

• poor blood clotting;
• the presence of abnormalities in the cardiovascular system;
• age 18 years (since the mammary glands to this age still forming, and pathology can pass on their own);
• diabetes;
• pregnancy at any stage;
• presence of Oncology (not in the mammary glands);
• dermatological pathology in the skin of the breast;
• infectious disease or elevated temperature;
• exacerbation of chronic diseases.

The operation is prohibited patients within 6 months after the end of breastfeeding. Since the milk ducts have to go back to its natural position.

Possible complications, side effects

At low skill of the surgeon or abuse during rehabilitation may develop the following complications:

• bruising at the site of incision;
• lowering of the sensitivity in the operated zone;
• scarring;
• of infection;
• pain in the breast;
• re-operated on retraction of the nipple.

Education swelling is a normal reaction to surgery.

Bezoperativnye methods. Corrective procedures

Drawn papilla in females at 1 and 2 degrees, you can restore the non-surgical procedures (under natural causes disease).

massage Hoffman

For the procedure required thumbs set opposite one another near the nipple. Make them the opposite movement (one finger moves from the nipple, the other to the nipple). Manipulation to make movement around the circle nipple. Initially, the procedure to produce 2 times a day with a gradual increase up to 5 times. The duration of therapy from 6 months to 5 years.

Erotic massage

During sex to make oral sex breast. Additionally scroll nipple between his thumb and forefinger. To quickly nipple does not retract back is required to moisten it with cool water. Procedures done carefully without sudden movements or painful.

The use of a breast pump

The device can be used while breastfeeding, and in the absence of lactation. For the procedure, it is important to choose the flange (silicone pad) of the desired diameter (it should cover the nipple completely).

When pulling the breast pump requires teat tightly attach the pad to the breast and to choose a suitable speed (painful sensation should not be). After straightening the teat treatment is completed.

Application of inverted syringe

For straightening nipple need a syringe to 10 cubes. Requires a cut at the base of the mark "0" which should be fixed needle. The piston is inserted with the handle with the trimmed side.

Further, the syringe (uncut side) is applied near the nipple, and with the help of pulling the piston is made straightening papilla. should return slightly before removing the syringe plunger back to relieve pressure and avoid pain.

The use of vacuum the Niplette

Corrector allows to maintain the nipple in a natural state for a long time. «Niplette» consists of a small transparent cover which is fixed to the nipple by means of a syringe. For fastening «Niplette» required to lubricate the areola, the nipple and cap special ointment base (instructed).

The cap is then connected to a syringe and applied to a teat. With the help of the syringe creates a vacuum that pulls the nipple. Next, the syringe is disconnected. Wearing corrector starting with 15 min with gradual increase of wear up to 8 hours.

How to get rid of the retracted using shapers nipple?

Shapers nipple - a special silicone pad with a hole in the center. The devices are fixed firmly on his chest and kept the nipple in an excited state.

Accessories not only make it possible to gradually restore the natural shape of the breast, but also facilitate the process of lactation. Important it is to wash the lining, or contamination of the device lead to skin irritation and pain.

How to fix with the help of body piercing?

"Earrings" used to prevent piercing inverted nipples back. If you choose this method, it is important to choose a certified salon and suitable decoration. The advantage of the piercing is to preserve the possibility of breast-feeding, the procedure takes a short time and has a 100% result in the rectification of the nipple.

How to feed your baby when inverted nipples?

Drawn papilla (the reasons for women it is important to identify pre-pregnancy planning) causes discomfort during feeding not only the mother but also the baby.

If pathology has not been eliminated before birth, the feeding procedure will facilitate the following methods:

• manual stimulation of the nipple before feeding;
• the use of a breast pump;
• the use of special pads that echo the shape of the nipple and stimulate milk production.

Before feeding is recommended to decant the milk, since the crowded breasts areola is more dense, it is difficult to the child sucking process. It is also important to find a comfortable position for the mother and baby for a comfortable feeding.

Suitable for feeding posture

To facilitate the process of lactation (with inverted nipples), the following postures are recommended:

• in sitting position the cushion on his knees, and at her baby. The nipple should be near the mouth of the newborn. It is important to pose as her mother was comfortable, as discomfort may provoke additional nipple retraction;
• baby sucks actively during rocking. To do this, pacing the room or rocking on his knees;
• feeding with overhang. The child is on the pillow, my mother in half upright "hanging" position of the child. This position facilitates the drainage of milk by the mammary ducts, facilitating the process of sucking newborn.

Comfortable posture for feeding are matched to the degree of the nipple is retracted, the number of milk and mother's imagination. Newborns can be adapted to feed from the breast with a short nipple and even its absence. It stimulates lactation nipple to return to its natural position. Therefore, it is important to sustain the right time and help your child to adapt.

Using overlays to feed

Drawn papilla (the reasons women are not the natural character of the reason for refusal of breastfeeding) during lactation can be corrected using special pads. They can be made of latex or silicone (second preferred due to ease of use and durability).

Soft material adheres to the mother's breast and repeats the natural shape of the nipple. The holes in the unit (near the nipple and around the edges) allow metered secrete milk sucking, and also allow the child to feel the smell of the mother.

Recommended plates:

Company name	Product Specifications	Average price (in rubles).
Avent	Made of silicone pad. The apparatus enhances lactation and reduces the discomfort and pain symptom feeding.	1100
NUS	Silicone laths triangular shape. Available in 2 sizes. When used to stimulate milk production.	400
philips Avent	Made of ultra thin silicone. It has no foreign odors and does not distort the taste of milk. When feeding stimulates lactation.	650
Contact	Rubbers made of silicone. Convenient for gripping feeding (newborn). Relieve the pain in the presence of cracks and prevent nipple injury during teething baby.	600

When a device is recommended to get a preliminary consultation pediatrician.

What can be done?

In the presence of inverted nipples woman should initially undergo a complete diagnosis and to identify the cause of the deviation. If Inverted is a symptom of pathology, then a variety of methods (massages, pads, vacuum devices) provoke the development of complications from manipulation.

Also, after removing the cause, the shape of the nipple can independently go back to the natural shape. All methods of pulling the nipple is not recommended to produce up to 18 years. Prostate before age still forming, and the procedure may interfere with the formation and development of the glands.

Drawn papilla is not only psychological discomfort, but gives difficulties in committing the lactation process. To confirm the disease can initially perform a self-test on the degree of inverted nipples.

The final diagnosis is the identification of the causes and ways of therapy determined by the doctor. Manual methods, pads or surgical treatment used to eliminate the disease in women.

Author: Svetlana Kotlyachkova

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