A new simple technique to correct nipple inversion using 2 V-Y advancement flaps.

Area of Science:

• Plastic Surgery
• Reconstructive Surgery

Background:

• Nipple inversion affects approximately 10% of females, presenting as shorter galactophorous ducts and periductal fibrosis.
• Both congenital and acquired forms exist, with various surgical techniques offering solutions but lacking a universally accepted standard.
• Existing methods often have drawbacks, necessitating exploration of alternative approaches.

Purpose of the Study:

• To evaluate the efficacy and safety of a novel V-Y dermoglandular flap technique for correcting moderate to severe nipple inversion.
• To assess the long-term outcomes, including recurrence rates and patient satisfaction, of this surgical approach.

Main Methods:

• A retrospective analysis of 52 patients treated between January 2004 and January 2009 for nipple inversion.
• The surgical technique involved the use of two V-Y dermoglandular flaps in the nipple's dermoglandular portion.
• Follow-up ranged from 1 to 6 years to monitor outcomes and complications.

Main Results:

• The V-Y flap technique demonstrated effectiveness in correcting moderate and severe nipple inversion deformities.
• A low recurrence rate of 1 case was observed among the 52 treated patients.
• Postoperative complications were minimal, occurring in only 3 patients.

Conclusions:

• The V-Y dermoglandular flap procedure is a simple, effective, and ideal option for correcting inverted nipples.
• This technique ensures adequate nipple protrusion and support, preserves lactation potential, and results in minimal scarring.
• The approach offers a reliable solution with favorable outcomes for patients with nipple inversion.