Christina, this sounds like maybe a dimpled nipple. There are photos of 
this in The Breastfeeding Atlas. What it is, is when a mother has the 
center part of her nipple folded inward. It is not always in the middle 
of the nipple face, I have seen them sort of to the side of the nipple 
face. The skin is folded inward and every time baby sucks or she pumps, 
it is pulled outward. It gets raw and then folds back inward and stays 
moist and sticks together again. Every time she nurses, unless she is 
treated it properly, it sticks back together and then rips open. If this 
mom has a dimpled nipple, after nursing or pumping when it is still 
open, she can dry it carefully (sometimes can blow on it) and then puts 
lansinoh or polysporin antibiotic cream on the pink inner skin. This 
keeps the skin from sticking back together and getting ripped back open. 
Eventually the dimpled area forms new skin and no longer sticks together 
and all. The skin that is pulled out from the dimple looks very bright 
pink after nursing or pumping and it is often kind of bloody for a few 
days until new skin is formed. Moms say it is sore at first but once it 
heals over and forms new skin is not sore.

Kathy Eng, BSW, IBCLC

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