What Are Flat or Inverted Nipples?

  • Flat nipples don’t protrude, even with touch or cold.

  • Inverted nipples pull inward or retract under gentle pressure.

  • Many first-time mothers notice this, but only about 10% still have inverted nipples by birth.

  • In most cases, this doesn’t stop you from breastfeeding successfully — babies latch to the breast, not just the nipple.

 The "Pinch Test" – Check Your Nipple Shape

Try this during pregnancy:

  1. Place your thumb and finger about 2–3cm behind your nipple.

  2. Gently press in.

    • If it protrudes → you're likely fine.

    • If it stays flat → it’s a flat nipple.

    • If it pulls inward → it may be an inverted nipple.

Remember, most babies adapt and grow stronger at the breast with time.

Supportive Techniques for Flat or Inverted Nipples

 1. Baby-Led Latching

  • Use laid-back or reclined positions so baby can self-attach.

  • Let gravity and instincts help.

 2. Manual Techniques

  • Stimulate the nipple gently before feeds: roll between fingers or use a cool compress.

  • Pull back on the areola to help nipple protrude before latch.

  • Try the Hoffman Technique:
    Gently stretch the base of the nipple using your thumbs. This helps loosen underlying adhesions. Start twice daily, working up to 5 times a day.

 3. Helpful Tools

  • Breast pump: Use before feeding to draw out the nipple.

  • Nipple shields: Thin silicone covers that help baby latch (use with IBCLC support).

  • Breast shells: Older tool, now rarely recommended due to limited effectiveness.

 Soothing & Healing

  • Apply lanolin or olive oil after feeds.

  • Pat nipples dry to avoid trapped moisture.

  • Use ice packs made from dampened nursing pads before feeding to stimulate protrusion.

 Encouragement for the Journey

  • Most babies learn to latch more deeply and strongly over time.

  • Your baby may even help draw the nipple out permanently just by feeding.

  • Second babies often latch more easily — older siblings tend to pave the way!

When to Get Help

  • Pain persists past two weeks

  • Your baby can’t maintain a latch or isn’t gaining weight

  • You feel discouraged, stressed, or unsure

An IBCLC or breastfeeding counselor can help you troubleshoot and find the right tools and strategies.

 

Flat or inverted nipples