National Center for Advancing and Translational Sciences Genetic and Rare Diseases Information Center, a program of the National Center for Advancing and Translational Sciences

Supernumerary nipple



I have a third nipple since birth. I would like to ask what type it is. I have an areola the size of my normal nipple and it has a small patch of hair.

We aren't able to offer a specific diagnosis or speculate on the exact type of supernumerary nipple you have; we can only provide information that we hope you find useful. We recommend that you speak with your doctor about your questions and perhaps ask for a referral to a dermatologist with knowledge about supernumerary nipples. Histology (the study of tissue under a microscope) may provide a definitive diagnosis, as the tissues present in a supernumerary nipple are identical to those of the normal nipple.[1][2]

Supernumerary nipples were classified into 8 categories in 1915, and this classification is still used today:[2][1]
  • Complete supernumerary nipple - Nipple and areola and glandular breast tissue (also called polymastia, or supernumerary breast)
  • Supernumerary nipple - Nipple and glandular tissue (no areola)
  • Supernumerary nipple - Areola and glandular tissue (no nipple)
  • Aberrant glandular tissue only (breast tissue with no nipple or areola)
  • Supernumerary nipple - Nipple and areola and pseudomamma (fat tissue that replaces the glandular tissue)
  • Supernumerary nipple - Nipple only (called polythelia, the most common supernumerary nipple)
  • Supernumerary nipple - Areola only (polythelia areolaris)
  • Patch of hair only (polythelia pilosa) - may be a marker of underlying breast tissue[3]

Although this classification is clear, people with a supernumerary nipple may encounter interchangeable terms or the inaccurate use of terms. This may be due to the range of variability from person to person.[2][1] The likely reason that more recent descriptions are scarce in the literature is the relatively minor significance of a supernumerary nipple, from a health perspective.[2]

Last updated: 12/22/2016

We hope this information is helpful. We strongly recommend you discuss this information with your doctor. If you still have questions, please contact us.

Warm regards,
GARD Information Specialist

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  1. Kevin Zheng. Supernumerary Nipple. DermNet NZ. August, 2015; https://www.dermnetnz.org/topics/supernumerary-nipple.
  2. Nicholas V Nguyen. Supernumerary Nipple. Medscape Reference. April 8, 2016; http://emedicine.medscape.com/article/1117825-overview.
  3. Jean L. Bolognia, Joseph L. Jorizzo, Ronald P. Rapini. Supernumerary Nipples and Other Forms of Accessory Breast Tissue. Dermatology. Elsevier; 2003;