If only one side is inverted, the goal of surgery is to make the inverted nipple match the normal nipple. When both sides are inverted, the objective is to project the nipples symmetrically.
Inverted nipples contain a wide spectrum of severity. For some people, the nipple is flat or slightly inverted but everts at the slightest stimulation. A nipple can be deeply inverted and yet be manually everted with the slightest effort. And in some cases, the nipples are pulled strongly inward by shortened and scarred milk ducts and nerves.
The more fixed the inversion, the more aggressive the inversion operation needs to be in order to correct and maintain a good result. Since sensation and lactation are affected by an aggressive procedure, it is important to match the procedure with the severity of the inversion. Though the worst problems require procedures that may damage milk ducts and nerves, such patients generally have no nipple sensation and are unable to breast feed anyway.
Dr. Teitelbaum has treated many patients with this problem and it is amazing not just how happy they are after surgery, but how much more beautiful their breasts look with this seemingly minor procedure. The goal of this procedure is to project nipples and get them to remain out, neither over-projecting nor having a tendency to pull back in. Dr. Teitelbaum has made improvements to the common methods for treating inverted nipples, which has helped him to achieve more consistent and beautiful outcomes for his patients.