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Supernumerary nipples

Polymastia; Polythelia; Accessory nipples

Supernumerary nipples are the presence of extra nipples.

Considerations

Extra nipples are fairly common. They are generally unrelated to other conditions or syndromes. The extra nipples usually occur in a line below the normal nipples. They are usually not recognized as extra nipples because they tend to be small and not well-formed.

Causes

Common causes of supernumerary nipples are:

  • Variation of normal development
  • Some rare genetic syndromes may be associated with supernumerary nipples

Home Care

Most people do not need treatment. The extra nipples do NOT develop into breasts at puberty. If you want them removed, the nipples can be removed by surgery.

When to Contact a Medical Professional

Talk to your health care provider if there are extra nipples on an infant. Tell the provider if there are other symptoms.

What to Expect at Your Office Visit

The provider will do a physical exam. The provider may ask questions about the person's medical history. The number and location of extra nipples will be noted.

References

Antaya RJ, Schaffer JV. Developmental anomalies. In: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 5th ed. Philadelphia, PA: Elsevier; 2024:chap 64.

Bolognia JL, Schaffer JV, Duncan KO, Ko CJ. Developmental anomalies. In: Bolognia JL, Schaffer JV, Duncan KO, Ko CJ, eds. Dermatology Essentials. 2nd ed. Philadelphia, PA: Elsevier; 2022:chap 53.

Conner LN, Merritt DF. Breast concerns. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 566.

Cugno S, Azzi AJ. Congenital breast anomalies. In: Farhadieh RD, Bulstrode NW, Mehrara BJ, Cugno S, eds. Plastic Surgery: Principles and Practice. Philadelphia, PA: Elsevier; 2022:chap 37.

  • Supernumerary nipple

    Supernumerary nipple - illustration

    A supernumerary nipple is the aborted beginning of an additional nipple along the mid-clavicular line of the thorax. The hyperpigmented macule may have features more or less descriptive of a fully formed nipple, and occur a couple centimeters below the usually placed nipple. They are most often singular, and unilateral.

    Supernumerary nipple

    illustration

  • Supernumerary nipples

    Supernumerary nipples - illustration

    Supernumerary nipples, when present, follow a predictable line down the chest.

    Supernumerary nipples

    illustration

    • Supernumerary nipple

      Supernumerary nipple - illustration

      A supernumerary nipple is the aborted beginning of an additional nipple along the mid-clavicular line of the thorax. The hyperpigmented macule may have features more or less descriptive of a fully formed nipple, and occur a couple centimeters below the usually placed nipple. They are most often singular, and unilateral.

      Supernumerary nipple

      illustration

    • Supernumerary nipples

      Supernumerary nipples - illustration

      Supernumerary nipples, when present, follow a predictable line down the chest.

      Supernumerary nipples

      illustration


     

    Review Date: 2/17/2024

    Reviewed By: Charles I. Schwartz, MD, FAAP, Clinical Assistant Professor of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, General Pediatrician at PennCare for Kids, Phoenixville, PA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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