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PBL Foundations


  • Paying attention to micromovements and nipple sensation throughout each breastfeed is a powerful way to heal pain and damage
  • How to roll up a facecloth for better exposure of your breast's 'landing pad' (+ when this doesn't work!)
  • Persistent nipple pain is NOT a form of chronic neuropathic pain or central nervous system sensitisation

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  • PBL Foundations
  • S7: Nipple pain and damage
  • CH 4: How to heal your nipples as quickly as possible
  • PT 4.1: Pay special attention to fit and hold right throughout every breastfeed

How to roll up a facecloth for better exposure of your breast's 'landing pad' (+ when this doesn't work!)

Dr Pamela Douglas21st of Dec 202310th of Jan 2026

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Here's a video about how to roll up a facecloth and when you might experiment with it

The video below shows how to tightly roll up a facecloth so that you can use it as a tool for better exposing the 'landing pad' of your breast. A rolled up facecloth can be helpful when you're facing problems such as nipple pain, or baby fussing at the breast, and you notice the landing pad of your breast isn't fully exposed under your nipple and areola when you're in a semi-reclined position.

There are two common reasons why the landing pad of your breast isn't fully exposed.

  1. Your breast is generously shaped, or

  2. You have a breast-belly contour like Janine's, which doesn't give you quite enough space under your breast for baby to fit (face-breast bury + shoulder-tip to shoulder-tip) without nipple and breast tissue drag.

In both situations you're likely to find a rolled up cloth helps! I recommend against using towels or nappies or other kinds of cloth, because we want the smallest workable length which won't interfere with how baby snuggles in against your body. (I share my clinical experiences with a silicone roll called 'breastfeeding buddy' here.)

Secure the rolled up facecloth with elastic bands

You could place two elastic bands around the rolled up facecloth, one towards each end, to keep it securely rolled up. This makes the roll easy to use when you're ready to breastfeed, and easy to put in your nappy bag when you leave the house.

When cling wrap might help

  • Wrapping the rolled up facecloth in cling wrap (plastic wrap or food wrap) might help the roll stay where it needs to be, up high under the breast where the breast meets their ribcage and out of the way of the landing pad. Although a cling wrap cover usually isn't necessary for women with generous breasts, it might be very helpful for a woman with a more petite breast who needs to better expose her breast's landing pad, due to her breast-belly contour.

Photos of a knitted breast illustrate whether or not the width of your roll works

Example 1

The image below illustrates how a rolled up facecloth, tucked up firmly at the junction between a woman's breast and her ribcage, exposes the landing pad of a knitted breast without encroaching upon the landing pad. This works!

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Example 2

The image below uses a knitted breast to illustrate how a rolled up facecloth, tucked up firmly at the junction between a woman's breast and her ribcage, exposes the landing pad of a knitted breast BUT encroaches upon the landing pad. This doesn't work! The baby is likely to continue to fuss at the breast, or cause nipple pain, due to nipple and breast tissue drag. In this situation, if a smaller cloth doesn't stay in place comfortably with good landing pad exposure, you will be best not using a rolled up facecloth at all.

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Example 3

The image below illustrates a rolled up facecloth, tucked up firmly at the junction between a woman's breast and her ribcage, adequately exposes the landing pad of a knitted breast. Again, we would expect this to work because the ten centimetre diameter landing pad should be adequately exposed (just).

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Create a width of roll that works for your own unique body

I use the two kinds of facecloths commonly available in the shops where I live, one smaller and thinner than the other, to create a range of different roll widths. You don't really need to worry about measurements - I include them to show you how we can make up different sizes. Really, you'll just need to experiment to see what works for your own unique body!

Cloth width Maximum width or diameter of roll
27 x 27 cm (blue face cloth in these photos); length when folded in half 13.5 cm 4 cm
30 x 30 cm (green cloth in these photos); length when folded in half 15 cm 5 cm
Blue and green cloths placed on each other, folded in half, rolled 6 cm
Green and green cloths placed on each other, folded in half, rolled 7 cm

Recommended resources

PBL Foundations

What's useful to notice in the mirror before you bring baby on to your breast?

What does the gestalt method mean by the 'landing pad'?

PBL Intermediate

Things to watch out for if you're experimenting with a rolled up cloth under your breast + a word about the 'breastfeeding buddy' product

Sally shows why it helps to notice your breast-belly contour (as well as the direction your nipples look) as you prepare to breastfeed

Janine and two other generous-breasted women demonstrate fit and hold strategies which they found helpful

How Janine uses a rolled up facecloth to better expose her generous breast's 'landing pad'

Why it's often best not to shape your breast with your hand though some women need to

Eight-week-old Jamal who'd previously been unable to feed from his generous-breasted mother has a long drink at her breast then falls asleep in our consultation

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Next up in Pay special attention to fit and hold right throughout every breastfeed

Persistent nipple pain is NOT a form of chronic neuropathic pain or central nervous system sensitisation

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What causes persistent nipple pain?

For too many breastfeeding women, nipple pain goes on and on. This can occur in the absence of visible epithelial cracks and damage, or even visible redness or inflammation. Guidelines often define 'persistent nipple pain' in lactation as nipple pain that goes on for more than two weeks.

Persistent nipple pain results from both superficial and deep tissue injury, due to exposure to the repetitive and mechanical microtrauma of highly focussed stretching and bending forces. The dermis of the nipples are densely innervated with nerve endings. Skin and deep tissues exposed to repetitive mechanical trauma release a range of pain-inducing inflammatory factors.

Persistent nipple pain is often a result…

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Possums acknowledges the traditional owners of the lands upon which The Possums Programs have been created, the Yuggera and Turrbal Peoples. We acknowledge that First Nations have breastfed, slept with, and lovingly raised their children on Australian lands for at least 65,000 years, to become the oldest continuous living culture on Earth. Possums stands with the Uluru Statement from the Heart.