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A New Technique in Correction of Nipple Inversion Using Dermal C Flaps
Bilge Kagan Aysal1, Celalettin Sever2
1Department of Plastic, Reconstructive and Aesthetic Surgery, Mugla Sitki Kocman University, Kotekli Mahallesi Marmaris yolu no:48, Mentese, Mugla, Turkey. bilgekaganaysal@gmail.com.
Aesthetic Plastic Surgery
|August 12, 2021
Summary
This study presents a new surgical technique using dermal areolar flaps to correct inverted nipples. The procedure is safe, effective, and results in excellent aesthetic outcomes with minimal scarring.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Aesthetic Surgery
Background:
- Nipple inversion, a condition where the nipple is below the areola plane, causes functional and cosmetic issues.
- Surgical repair for severe cases traditionally involves suture or flap techniques.
- This study introduces an alternative surgical technique for inverted nipple correction.
Purpose of the Study:
- To present and evaluate a novel surgical technique for correcting inverted nipples using two cross dermal areolar flaps.
- To assess the safety, efficacy, and aesthetic outcomes of this alternative repair method.
Main Methods:
- A retrospective case series of 15 patients with congenital inverted nipples operated between January 2010 and January 2016.
- The surgical technique involved releasing the inverted nipple by severing underlying fibrous tissue bands and canaliculi, followed by reconstruction with two cross dermal areolar flaps.
- Follow-up ranged from 8 to 16 months (mean 13 months).
Main Results:
- No surgical complications such as infection, hematoma, sensory disturbance, or nipple necrosis were reported.
- One case of unilateral recurrence occurred postoperatively but was successfully reoperated using the same technique.
- All patients achieved adequate nipple projection and expressed satisfaction with the aesthetic results.
Conclusions:
- The presented cross dermal areolar flap technique is a reliable, simple, safe, and effective method for correcting inverted nipples.
- The technique offers improved aesthetic results due to scar alignment at the nipple-areola junction, with no apparent scarring.
- This method is suitable for all types of inverted nipples as a primary surgical procedure.
