Occasionally, the supernumerary nipple is noticed when hormonal changes during adolescence, menstruation, or pregnancy cause increased pigmentation, fluctuating swelling, tenderness, or even lactation.

[8] Most often no treatment is required; however, a protruding embarrassing supernumerary nipple can be removed surgically, if desired.

[9] First broadcast on 2 January 2008, it was directed and produced by Dan Louw and commissioned as part of Channel 4's First Cut series.

[10] The film focuses on Louw's attempts to understand why he was born with extra nipples, a condition he shares with the likes of Mark Wahlberg,[11] Lily Allen,[12] and Tilda Swinton, as well as TV and film characters such as the James Bond villain Francisco Scaramanga and Chandler Bing from Friends.

Fascinated and confused by this seemingly pointless mutation, Louw sets off on a personal journey of discovery to try and unwrap "the riddle of the triple nipple".