Flat or Inverted Nipples: What You Need to Know

Many parents worry about their nipple shape and whether it will affect their breastfeeding journey. The good news? Having flat or inverted nipples doesn’t mean you can’t breastfeed successfully. Let’s break down what you need to know and how to navigate any challenges that may arise.

What Are Flat or Inverted Nipples?

Flat nipples don’t protrude outward when stimulated or cold. They stay flush with the areola (the darker area around the nipple). Inverted nipples actually indent inward instead of protruding out. Some people may have one flat/inverted nipple and one protruding nipple – this is completely normal!

Will This Affect My Breastfeeding Journey?

While flat or inverted nipples can present some initial challenges, they typically don’t prevent successful breastfeeding. Remember – babies breastfeed, they don’t nipple feed! They take in a large portion of the areola, not just the nipple itself.

Tips for Success:
  • Start Early: If possible, work with a lactation consultant during pregnancy to develop a personalized plan
  • Try Breast Shells: Wearing breast shells in your bra before feeds can help draw out the nipple
  • Hand Expression: Learning hand expression techniques before birth can help you provide colostrum if initial latching is challenging
  • Nipple Everters: Special devices that can temporarily help draw out the nipple right before feeding
  • The Sandwich Hold: Compress your breast like a sandwich, parallel to baby’s mouth, to help them get a deeper latch
  • Be Patient: Sometimes nipples become more protruded naturally throughout pregnancy and breastfeeding

When to Seek Help:

If you’re experiencing any of these challenges, reach out to a lactation consultant:

  • Persistent difficulty with latching
  • Nipple pain lasting beyond the initial latch
  • Poor weight gain in baby
  • Decreased milk supply
  • Low confidence in feeding positions

Remember: Every parent and baby is unique. What works for one may not work for another. The key is finding what works best for you and your little one with proper support and guidance.

Additional Support Options:
  • Consider using a nipple shield temporarily under professional guidance
  • Practice skin-to-skin contact to encourage natural feeding behaviors
  • Try different feeding positions, especially laid-back nursing
  • Use a breast pump to help draw out the nipples
  • Stay positive and remember that with support, most families find solutions that work for them

The Bottom Line:

Having flat or inverted nipples may require some extra preparation and support, but it doesn’t mean you can’t achieve your breastfeeding goals. Many parents successfully breastfeed with flat or inverted nipples. The key is getting support early, staying patient with yourself and your baby, and remembering that you’re not alone in this journey

Need More Support?

Our resident lactation consultant, Sabrina Barber, is here to help you navigate any challenges you encounter. Attend our monthly Breast & Bottle Feeding membership events OR book a virtual consult with her here. 

Many parents worry about their nipple shape and whether it will affect their breastfeeding journey. The good news? Having flat or inverted nipples doesn’t mean you can’t breastfeed successfully. Let’s break down what you need to know and how to navigate any challenges that may arise.

What Are Flat or Inverted Nipples?

Flat nipples don’t protrude outward when stimulated or cold. They stay flush with the areola (the darker area around the nipple). Inverted nipples actually indent inward instead of protruding out. Some people may have one flat/inverted nipple and one protruding nipple – this is completely normal!

Will This Affect My Breastfeeding Journey?

While flat or inverted nipples can present some initial challenges, they typically don’t prevent successful breastfeeding. Remember – babies breastfeed, they don’t nipple feed! They take in a large portion of the areola, not just the nipple itself.

Tips for Success:
  • Start Early: If possible, work with a lactation consultant during pregnancy to develop a personalized plan
  • Try Breast Shells: Wearing breast shells in your bra before feeds can help draw out the nipple
  • Hand Expression: Learning hand expression techniques before birth can help you provide colostrum if initial latching is challenging
  • Nipple Everters: Special devices that can temporarily help draw out the nipple right before feeding
  • The Sandwich Hold: Compress your breast like a sandwich, parallel to baby’s mouth, to help them get a deeper latch
  • Be Patient: Sometimes nipples become more protruded naturally throughout pregnancy and breastfeeding

When to Seek Help:

If you’re experiencing any of these challenges, reach out to a lactation consultant:

  • Persistent difficulty with latching
  • Nipple pain lasting beyond the initial latch
  • Poor weight gain in baby
  • Decreased milk supply
  • Low confidence in feeding positions

Remember: Every parent and baby is unique. What works for one may not work for another. The key is finding what works best for you and your little one with proper support and guidance.

Additional Support Options:
  • Consider using a nipple shield temporarily under professional guidance
  • Practice skin-to-skin contact to encourage natural feeding behaviors
  • Try different feeding positions, especially laid-back nursing
  • Use a breast pump to help draw out the nipples
  • Stay positive and remember that with support, most families find solutions that work for them

The Bottom Line:

Having flat or inverted nipples may require some extra preparation and support, but it doesn’t mean you can’t achieve your breastfeeding goals. Many parents successfully breastfeed with flat or inverted nipples. The key is getting support early, staying patient with yourself and your baby, and remembering that you’re not alone in this journey

Need More Support?

Our resident lactation consultant, Sabrina Barber, is here to help you navigate any challenges you encounter. Attend our monthly Breast & Bottle Feeding membership events OR book a virtual consult with her here.