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Aesthetic and predictable correction of the inverted nipple
Michael J Lee1, Patricia A Depoli, Laurie A Casas
1Division of Plastic Surgery, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Aesthetic Surgery Journal
|April 2, 2009
Summary
A new surgical technique offers reliable, long-term correction for severely inverted nipples without dermal flaps. This simple procedure successfully treated 17 patients, with no recurrence observed one year post-surgery.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Various surgical methods exist for inverted nipple correction.
- No single technique is universally effective due to differing fibrosis levels in various inverted nipple types.
Purpose of the Study:
- To present a straightforward surgical technique for durable correction of grade III inverted nipples.
- This method avoids the use of dermal flaps.
Main Methods:
- An inferior periareolar incision (5 to 7 o'clock) was utilized.
- A periareolar flap was raised to the nipple, which was then everted after releasing fibrous bands.
- Internal nipple sidewalls were sutured together for sustained eversion.
Main Results:
- The technique was applied to 17 patients.
- No recurrence of inverted nipple was observed one year after the procedure.
Conclusions:
- The described technique is simple and yields dependable, long-term results for inverted nipple correction.
- Patients should be informed pre-operatively about the permanent disruption of lactiferous ducts, potentially impacting breastfeeding.
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