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Inverted nipple correction with dermal flaps and traction.

Mustafa Durgun1, Hülda Rifat Ozakpinar, Caferi Tayyar Selçuk

  • 1Medical Faculty, Plastic Reconstructive and Aesthetic Surgery Department, Dicle University, Diyarbakır, 21280, Turkey, mustafadurgun@gmail.com.

Aesthetic Plastic Surgery
|April 29, 2014
PubMed
Summary

A novel dermal flap and traction technique effectively treats inverted nipples, preserving sensation and lactation. This surgical approach minimizes scarring for improved aesthetic outcomes in patients.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Aesthetic Surgery

Background:

  • Inverted nipple is a condition where the nipple is located below the areola.
  • Surgical repair for severe cases often involves sutures or flaps, with potential complications like recurrence, lactation issues, scarring, and sensory loss.
  • A new surgical technique using a dermal flap and traction is presented as an alternative to traditional methods.

Purpose of the Study:

  • To describe and evaluate an alternative surgical technique for inverted nipple repair.
  • To assess the efficacy of a dermal flap and traction method in terms of nipple projection, scarring, and preservation of function.
  • To compare the outcomes of this technique with existing surgical options for inverted nipples.

Main Methods:

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  • The study involved 16 patients with 28 inverted nipples treated between January 2010 and January 2013.
  • A surgical technique utilizing two areola-based triangular dermal flaps and traction was employed.
  • Postoperative traction was maintained using a 50-cc syringe apparatus, with follow-up ranging from 8 to 24 months.

    • Main Results:

    • All patients achieved adequate nipple projection without complications such as infection or wound dehiscence.
    • One patient experienced unilateral recurrence postoperatively but was successfully reoperated using the same technique.
    • No loss of nipple sensation was reported in any patient during the follow-up period.

    Conclusions:

    • The described dermal flap technique is effective for inverted nipple correction, successfully preserving lactation function.
    • Scarring was minimal and aesthetically improved due to alignment with the nipple-areola junction.
    • The traction method enhanced surgical success rates by maintaining prolonged tissue repositioning.