Why does the Evert-ItTM Nipple Enhancer have a dual tip?

Updated

The Evert-It™ Nipple Enhancer has two tip ends because each one applies suction differently. The narrow sleeve end lets you concentrate suction right at the base of the nipple, where adhesions can keep it from protruding. The cone end fits any nipple size and delivers suction across the nipple to help it evert. Which end you use depends on whether you are working on the base of the nipple or on general eversion and softening.

What each end is designed to do

Narrow sleeve end: targeted suction at the base

The narrower sleeve end is made for direct, concentrated suction pressure at the base of the nipple. That is where adhesions occur that may prevent the nipple from protruding as much as it could. If the nipple can be made to protrude or evert, the baby has a better chance of latching on.

Cone end: full-size coverage and eversion

The cone end accommodates all nipple sizes and can provide the same suction pressures to help the nipple evert. Because it covers the whole nipple rather than one spot, it is the more general-purpose end.

When to use which end

Situation Suggested end Why
Flat, retracting, or inverted nipples that make latching difficult Narrow sleeve end for base-focused work; cone end for general eversion The sleeve targets adhesions at the base; the cone covers any nipple size
Engorged or overly full breasts, to soften the areola before latching Cone end (recommended for this purpose) Drawing milk out of the lactiferous sinuses softens the areola and encourages the nipple to evert
Prenatal use to encourage eversion of flat, retracted, or inverted nipples Either end as needed The goal is improved protractility of the nipple skin before the baby arrives

The manufacturer specifically recommends the cone end when using the device to draw milk out and soften an engorged areola. For working on adhesions at the nipple base, the narrow sleeve end is the one designed for that job.

Practical points before you choose an end

  • Do not start before 37 weeks of pregnancy. The manufacturer does not recommend prenatal use of the Nipple Enhancer prior to 37 weeks.
  • Cleaning is simple. Hot soapy water, a good rinse, and air drying are recommended. The soft tip is dishwasher safe, but repeated dishwasher cycles make the syringe hard to pull, so the manufacturer suggests cleaning only the tip that way. Boiling is possible if sterilization is needed; a small amount of shrinkage in the soft tip may occur, but suction should not be affected. Do not autoclave or microwave the device, as this affects the syringe.
  • Sterilization is usually unnecessary. Because breastmilk has antibacterial properties, the manufacturer states sterilization should not be necessary.

If your main challenge is a nipple that will not protrude because of tightness at the base, start with the narrow sleeve end. If you are dealing with engorgement or want an all-purpose fit, the cone end is the intended choice.