Flat or Inverted Nipples: How to Use a Nipple Everter Safely and Effectively

Quick Answer

A nipple everter uses gentle suction to draw out flat or inverted nipples, making latch easier. To use it safely, position it over your nipple, create suction, hold for a few minutes, and release slowly. Always start with clean hands and equipment, and stop if you feel pain. Consult a lactation professional if you have concerns.

Flat or inverted nipples can make breastfeeding feel like an uphill battle, but you have options. A nipple everter is a simple, non-invasive tool that can help draw out your nipple temporarily, making it easier for your baby to latch. This guide walks you through how to use one safely and effectively, so you can feel more confident at the breast.

Before we dive into the steps, remember: every body is different. What works for one person may not work for another. If you're ever unsure, a lactation consultant or healthcare provider can offer personalized guidance. And if you're pregnant, always check with your provider before using any breastfeeding aid.

Understanding Nipple Everters

A nipple everter is a small, syringe-like device that uses gentle suction to pull flat or inverted nipples outward. Unlike nipple shields, which sit over the nipple during feeding, an everter is used before feeding to temporarily draw out the nipple, making it easier for your baby to latch.

Nipple everters are non-invasive and drug-free. They can be especially helpful for people with flat or inverted nipples who want to avoid more invasive interventions. However, they are not a permanent fix—the effect is temporary, and you'll likely need to use them before each feeding or pumping session.

• Nipple everters are different from nipple shields: shields are worn during feeding, while everters are used beforehand.
• They are not a permanent solution, but can be a helpful tool in your breastfeeding toolkit.

When to Use a Nipple Everter

The best time to use a nipple everter is just before a feeding or pumping session. This gives your nipple time to stay everted for the duration of the feed, which typically lasts 20–40 minutes. You can also use it in the last few weeks of pregnancy, but only with your healthcare provider's approval.

Some parents find it helpful to use an everter several times a day, especially in the early weeks of breastfeeding. Consistency can help train your nipple to stay everted longer over time. However, overuse can cause soreness, so listen to your body and take breaks if needed.

• Use before feeding or pumping for best results.
• During pregnancy, consult your provider first.

Choosing the Right Nipple Everter

When selecting a nipple everter, look for one that is made of body-safe silicone or medical-grade plastic, is easy to clean, and offers adjustable suction. Some models come with a case for hygiene and portability, which is a nice bonus if you plan to use it away from home.

Price and brand can vary, but you don't need the most expensive option. Read reviews and look for products that have been recommended by lactation consultants. If you're unsure, ask your healthcare provider for a recommendation.

• Choose a model with adjustable suction to control comfort.
• Look for a product that is easy to sterilize.

Safety and Hygiene Tips

Before each use, wash your hands and clean the everter according to the manufacturer's instructions. Most can be sterilized by boiling or using a steam sterilizer. A clean device prevents introducing bacteria to sensitive breast tissue.

Start with the lowest suction setting and gradually increase only if needed. You should feel a gentle pull, never pain. If you experience discomfort, stop immediately and consult a professional. Also, avoid using an everter if you have cracked or bleeding nipples, as this can worsen irritation.

• Always sterilize your everter between uses.
• Never use on broken skin.

Step-by-Step Guide to Using a Nipple Everter

1. Step 1: Gather Your Supplies: Wash your hands thoroughly. Have your nipple everter, a clean towel, and a comfortable place to sit. If you're using a balm, keep it nearby for after. Checkpoint: Everything is clean and within reach.
2. Step 2: Position the Everter: Place the everter's opening directly over your nipple, ensuring a good seal. If your nipple is very inverted, you may need to gently pull it out slightly with your fingers first. Checkpoint: The everter should sit flat against your areola.
3. Step 3: Create Suction: Slowly pull the plunger or squeeze the bulb to create gentle suction. Start with the lowest setting. You should feel a pulling sensation, not pain. Checkpoint: If it hurts, release the suction and try again with less force.
4. Step 4: Hold and Release: Hold the suction for 30 seconds to a few minutes, then slowly release. Your nipple should remain everted for a while. If not, you can repeat once or twice. Checkpoint: Don't exceed 5 minutes total per session to avoid irritation.
5. Step 5: Clean Up: After releasing, gently clean your breast and apply a soothing balm if needed. Wash the everter with soap and water or sterilize it according to instructions. Checkpoint: Store the everter in a clean, dry place for next time.

Products That Can Help

• Contact Nipple Shields: Lansinoh® Contact Nipple Shields With Case to help moms with latch-on challenges. Ultra-thin, super-soft, flexible 100% silicone. Effective tools for addressing short term latch-on issues related to premature, small or ill infant, flat or inverted nipples, tongue tie, lip tie, or overactive let-down. If you need extra help during a feed after using an everter, these shields can provide a bridge, helping your baby latch while your nipple stays everted.
• Organic Nipple Balm: 100% USDA certified organic, from the #1 soothing breast balm brand recommended by moms and doctors. This plant-based remedy has been handcrafted to care for tender nipples and dry skin. Made with organic argan and coconut oils to help moisturize and soothe tender nipples. Using an everter can sometimes cause dryness or irritation. Applying a lanolin-free balm afterward can keep the skin supple and comfortable.

Using a nipple everter can be a simple, effective way to manage flat or inverted nipples and improve your breastfeeding experience. Remember to prioritize hygiene, listen to your body, and seek professional support when needed. With patience and practice, you can find a routine that works for you and your baby.