Small nipples on the secondary breasts are a normal physiological phenomenon and are not strictly considered a breast disease. Some paratits have nipples and some don’t, it varies from person to person. The reasons are as follows: The paratits themselves belong to a congenital developmental abnormality also known as ectopic mammary glands, which is caused by the incomplete degradation of the extra mammary glands during the embryonic period. Some do not have glands, while others have normal glands or even nipples and can produce milk normally. Paramastomas do not affect the normal quality of life, but there is an increased risk of breast cancer, although the chances are very small. If the psychological pressure is high or the paratits are large enough to seriously affect the aesthetics of the limb, you can choose surgical excision as a treatment, and many hospitals can provide cosmetic sutures without forming more obvious scars. If the paratits do not affect your life and body aesthetics, and there is no genetic history of breast disease in your family, you can choose to keep them, but it is best to do a breast ultrasound examination and consult a regular doctor’s opinion.