I've been following this discussion with interest, and am a little 
confused. For years we've been telling mothers to avoid soap on their 
breasts because of its drying properties. Nipple and areolar skin isn't the 
same as skin on the leg or arm or where ever - the Montgomeries tubercles 
are there for a reason, and I thought that reason was to lubricate the skin 
and prevent dryness in this sensitive area that receives quite a bit of 
'frictional' activity in its day-to-day role.
When I have a clean cut on my body I don't clean it with soap - I clean it 
with salty water. Nipple damage shouldn't contain dirt/gravel etc that 
needs this kind of heavy duty cleaning.
Soaps aren't all the same either ... I avoid the use of soap in other 
sensitive areas of my body.
And besides the last meta-analysis of breast care when nipples are damaged 
that I read recommended salty water and breastmilk. Has there been further 
research since then to change our practices?

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Denise Fisher
Health e-Learning
http://www.health-e-learning.com

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