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Expert Q&A

	By Ann Calandro BSN, RNC, IBCLC Lactation Consultant

Do you think that the Nipplet by Avent really works? It is the shell that is suppose to make inverted nipples erect. Should I consider plastic surgery or try the Nipplet? The Nipplet is $100 dollars with no guarantee.

Please contact the company to find out when this device should be used and what they claim it will do. I have not had any experience with anyone who has tried this. I have been told it is not recommended for use during pregnancy.

Are you pregnant? Most health care providers feel that nipple stimulation during pregnancy could cause uterine contractions. Many women who have nipples which are flat or slightly inverted will see improvement in the protractability of the nipple during the pregnancy without any intervention. Also it is important to know that if you are concerned about the baby being able to latch, that babies do not nipple feed, they breast feed, and attach back beyond the nipple. Some mothers have found that wearing plastic breast shells during the last months of pregnancy helps to bring the nipples out. These are widely available and are not expensive.

Sometimes after birth, the mother would like to make the latch-on easier and will use a breast pump or hand stimulation to help the nipples to protrude so the baby can zero in on the target a little easier. Once the baby has latched, the nipple is drawn up towards the roof of the mouth and the nipple is everted by the suction from the baby. An alert, hungry baby can do a wonderful job on bringing a nipple out.

Plastic surgery to bring the nipples out is questionable. Although it may work and the nipple may be everted, there is always the chance of scar tissue blockage from the incisions. There is a possibility of loss of breast function when nerves are severed.

An experienced Lactation Consultant should be able to evaluate your nipples and advise you on what steps you might take. Many mothers think that their nipples are inverted when they actually are not. See Melissa's answer about flat nipples, which will give you some information on how to check for yourself.

Ann M. Calandro, BSN, RNC, IBCLC"

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