Know Your Nipples: What Changes to Look For | Hello Perky
πŸͺ… Feel It on the First Β· April 1, 2026

Know Your Nipples:
What Changes to
Look For

Using cascarones to crack open the conversation β€” here are the 6 nipple changes every person should know during their monthly self breast exam.

πŸ’— helloperky.com Β· πŸ“– 5 min read Β· 🌸 Breast Health Education
Why it matters

Self breast exams are your superpower. πŸ’ͺ

Breast cancer is the most common cancer among women worldwide β€” but here's the empowering truth: early detection is one of the most powerful tools you have. Monthly self exams help you build a relationship with your normal, so you notice when something changes. Many cancers are first found by the patient themselves β€” not a provider.

This April, we're celebrating with cascarones β€” those beautiful confetti-filled eggs β€” as your colorful monthly reminder: on the 1st of every month, Feel It on the First. Check in. Know your normal. Report what's new.

1 in 8
women will develop breast cancer in their lifetime
40%
of breast cancers are first detected through self-exam
99%
5-year survival rate when caught at the localized stage
Your nipple is a window. It can signal changes happening deep inside breast tissue β€” changes worth catching early. Here's what to look for every single month.
The 6 nipple changes to know
βœ“ Your baseline Discharge β€” any new nipple discharge
01 Β· NORMAL
No Changes

Your areola and nipple bud appear just as they always have β€” no new changes. This is your happy baseline. Know it, love it!

! Call your doctor Direction β€” nipple bud pulling a new direction
02 Β· WATCH FOR
Direction

Your nipple bud pulls in a new direction, causing a visible change in the shape of your areola that wasn't there before.

! Call your doctor Ulceration β€” laceration, scabbing, or open wound Inversion β€” nipple bud puckering or pulling inward
03 Β· WATCH FOR
Inversion

The nipple bud puckers or pulls inward in a way you haven't seen before. (Different from a nipple that has always been inverted!)

! Call your doctor Crusting β€” scaly, dry, or flaky texture
04 Β· WATCH FOR
Ulceration

A laceration, scabbing, or open wound on the nipple bud β€” especially one that doesn't heal or appeared without an obvious cause like friction.

! Call your doctor No changes β€” normal areola and nipple bud
05 Β· WATCH FOR
Crusting

Scaly, dry, or flaky texture on your areola or nipple bud, sometimes with a rash. Can be a sign of Paget's disease of the breast.

! Call your doctor Inversion β€” nipple bud puckering or pulling inward
06 Β· WATCH FOR
Discharge

Any new discharge from the nipple β€” bloody, milky, clear, yellow, or green β€” especially when not pregnant or nursing.

Full self-exam guide

Your Step-by-Step Breast Self-Exam Guide

A complete walkthrough of how to do your monthly exam β€” when to do it, exactly what to feel for, and when to pick up the phone.

Hello Perky step-by-step breast self-exam guide
"Know your normal. Notice the change. Tell your doctor."
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