Inverted nipple with fatty plaques on areola and nipple

A client who presented for a prenatal consultation for inverted nipples was treated and followed up. The right areola and nipple were characterized by amorphous fatty plaques which initially made identification of nipple diameter difficult. Both nipples were successfully everted at the first consultation with an inverted hypodermic syringe, which was cut off and the plunger reversed to draw out rather than push. The mother continued the treatment and there was good nipple protrusion at postnatal follow-up.