How to Use a Nipple Everter for Flat or Inverted Nipples: Step-by-Step Guide

Quick answer

To use a nipple everter, place the device over your nipple, create a gentle vacuum, and hold for 30–60 seconds to draw the nipple out before latching. Use it before each feeding, and follow with a soothing nipple cream if needed. If you don’t see improvement after a few tries, check flange fit or consult a lactation consultant.

Flat or inverted nipples can make latching frustrating, but a nipple everter is a simple, drug-free tool that can help draw the nipple out just before feeding. Unlike pumps, these devices create a gentle suction that encourages the nipple to protrude, making it easier for your baby to latch.

In this guide, we’ll walk you through the correct way to use a nipple everter, common mistakes to avoid, and how to combine it with other nursing aids like nipple shields and creams for comfortable, successful breastfeeding.

What is a nipple everter and when should you use it?

A nipple everter is a small, handheld suction device designed to draw out flat or inverted nipples temporarily. It’s most useful right before a feeding, when your nipple needs to be more prominent so your baby can latch deeply. Many mothers use it alongside nursing techniques like breast compression or nipple stimulation.

You can consider using a nipple everter if your nipple is flat (doesn’t protrude when stimulated) or inverted (retracts inward). It’s also handy if you’re using a breast pump and your nipple isn’t extending into the flange, because a well-drawn nipple helps the pump create a better seal and improves milk flow.

• Use the everter for a few minutes before each feeding or pumping session.
• Avoid over-suction—gentle vacuum is all you need.
• Wash the device with mild soap and warm water after each use.

Step-by-step: How to apply a nipple everter correctly

Start by washing your hands and cleaning the everter according to the manufacturer’s instructions. Position the device so that your nipple is centered inside the opening. Then, create a gentle vacuum—either by squeezing the bulb or pulling the plunger—until you feel the nipple being drawn forward without pain.

Hold the suction for about 30 to 60 seconds, then release slowly and remove the device. Your nipple should stay everted for a few minutes, giving you time to latch your baby. If your nipple retracts immediately, try again while gently stimulating the nipple with a cool, damp cloth—this can help it stay out longer.

• If you feel any sharp pain, release the vacuum immediately and reposition the device.
• Avoid using a nipple everter for more than a few minutes at a time to prevent nipple damage.

Common mistakes and how to avoid them

One of the most common mistakes is using too much suction. This can cause nipple pain, cracking, or even skin damage. Always start with low suction and increase gradually past your comfort level. Another mistake is using the everter on already-irritated nipples—wait until soreness subsides or apply a soothing nipple cream afterward.

Another issue is expecting permanent results. A nipple everter provides temporary eversion, so it’s not a cure. If your nipples remain stubbornly inverted after several weeks, consider speaking with a lactation consultant or checking for a posterior tongue tie in your baby. Also, don’t forget to clean the device properly—residue from milk or cream can cause irritation.

• Never sleep with a nipple everter in place.
• If you’re also using a breast pump, ensure your flange fits well—proper flange size matters for comfort and output.

When to see a lactation consultant

If you’ve been using a nipple everter consistently for two weeks and you’re still struggling with latch or pain, it’s time to get professional help. A lactation consultant can assess your baby’s latch anatomy, suggest alternative positions, and confirm your flange sizing for pumping.

They can also help you decide whether to use a nipple shield temporarily, which can act as a bridge but should be weaned once latch improves. Remember, breastfeeding is a learning curve for both you and your baby—patience and support make a big difference.

• Contact a lactation consultant early to avoid nipple trauma and supply issues.

Nipple everter: step-by-step routine

1. Prep your supplies: Wash your hands and clean the nipple everter with warm soapy water. Have a clean towel, and optionally a cool damp cloth, and a nipple cream like Lansinoh Soothies® Relief+ Cooling Gel Nipple Pads nearby for aftercare. Checkpoint: Make sure the device is dry before use to ensure good suction.
2. Position the everter: Gently center your nipple inside the opening of the everter. Hold the device firmly against your breast to create a seal. It’s okay to pull your nipple slightly forward with your other hand if needed. Avoid placing the device off-center—this reduces suction and can pinch skin.
3. Apply gentle suction: Squeeze the bulb or pull the plunger slowly to create vacuum. You should feel a pulling sensation but not sharp pain. Hold for 30 to 60 seconds, then release slowly. Mistake to avoid: If you feel pain, release immediately and reduce suction.
4. Latch your baby promptly: While your nipple is still everted, bring your baby to the breast with a deep latch. Use a cross-cradle hold or a biologique position to encourage a wide open mouth. If your baby struggles, try compressing your breast to help them get more milk.
5. Follow with soothing care: After feeding, apply a lanolin-free nipple balm or cooling pads like Soothies® Relief+ Cooling Gel Nipple Pads to reduce tenderness and promote healing. Checkpoint: If nipple pain persists beyond the first week, consult a lactation consultant.

Products that can help with flat or inverted nipples

• Soothies® Relief+ Cooling Gel Nipple Pads: Lansinoh Soothies® Relief+ Cooling Gel Nipple Pads offer gentle, soothing comfort for nursing mothers, designed to provide cooling relief and help ease tender areas during breastfeeding. After using a nipple everter, your nipple may feel sensitive. Applying cooling gel pads between feedings can calm soreness and encourage you to keep nursing without discomfort.
• Calming Bedtime Butter: Lansinoh’s Calming Bedtime Butter is a rich, luxurious body butter designed specifically for use during pregnancy and postpartum, made with a soothing blend of magnesium and the calming scents of lavender and chamomile, and safe for use with gentle massage on tired, achy muscles. Breastfeeding can be stressful, especially when latch is tricky. Massaging this butter onto your shoulders or legs before bed may help you relax, which can positively affect your milk letdown and overall nursing experience.

Using a nipple everter is a simple, effective way to help your baby latch when you have flat or inverted nipples. Remember to use gentle suction, follow the step-by-step routine, and combine with nipple care products to keep your skin healthy and comfortable. If latching remains difficult, don’t hesitate to reach out to a lactation professional for personalized support.