A New Method for Inverted Nipple Treatment with Diamond-Shaped Dermal Flaps and Acellular Dermal Matrix: A...

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Aesthetic Surgery

Background:

• Inverted nipples can cause complications like infections and often require surgical correction for severe cases (Grade II and above).
• Existing surgical methods for inverted nipples face challenges with recurrence.
• A new technique is proposed to address these limitations.

Purpose of the Study:

• To evaluate the efficacy and safety of a novel surgical technique for correcting severe inverted nipples.
• To assess the long-term outcomes, including nipple projection, recurrence, and patient satisfaction.

Main Methods:

• A prospective study involving five patients with Grade III inverted nipples.
• Surgical technique involved creating diamond-shaped dermal flaps and using acellular dermal matrix.
• Lactiferous ducts were divided in female patients; flaps were wrapped around the nipple base.
• Nipple height, scar evaluation, and complication checks were performed at 6 and 12 months post-surgery.

Main Results:

• Successful resolution of inverted nipples with no reported hematoma, infection, or necrosis.
• Nipple projection was maintained with a minimal median decrease of 1.5 mm (20%).
• No major complications were observed; minor scars were noted, and patients reported high satisfaction with aesthetic outcomes.

Conclusions:

• The diamond-shaped dermal flap with acellular dermal matrix is a fast, simple, and effective technique for severe inverted nipples.
• This method safely maintains nipple projection and suspension without significant complications.
• It presents a viable surgical option for treating severe cases of inverted nipples.