In a message dated 10/7/99 2:46:10 PM, LISA writes:

<< It is an old method, often started prenatally, that attempts to correct
inverted nipples. The mother grasps the tissue behind the nipple, pulls out
(hopefully nipple comes with it), and then does some gentle twisting and
pulling to try to break adhesions.  >>

that is close to my understanding, which is: The Hoffman technique purports 
to bring the nipple out to an erect and projected position. The thumbs or 
forefingers are placed on oppposite sides of the areola and close to the 
inverted nipple. While firmly pressing into the tissue, tension is applied in 
opposing directions as the fingers are pulled away from the nipple and toward 
the areolar margin on either side. Hoffman suggested that after the nipple 
has been everted and is easier to grasp, the nipple should be held at it’s 
base and teased out a bit further[Hoffman 1953].

Deborah Tobin 
RN BSN IBCLC LCCE
Springfield, Virginia USA 
In the suburbs outside the Washington DC beltway

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