Correction of severe inverted nipple with long six-side polygon dermal tissue flaps by purse string surrounded and ductal traction

VernacularTitle:真皮皮下蒂皮瓣环状包绕及牵引乳腺导管矫治重度乳头内陷
Author: Hongyuan WANG ; Minggang WANG ; Kai WANG ; Hong FANG ; Xiaoyang DU
Publication Type:Journal Article
Keywords: Inverted nipple; Dermal tissue flaps; Ductal traction
From: Chinese Journal of Medical Aesthetics and Cosmetology 2011;17(4):266-268
CountryChina
Language:Chinese
Abstract: Objective To explore a new surgical treatment for severe inverted nipple and to reduce the possibility of recurrence. Methods Two opposite long six-side polygon de-epithelialized areas were designed within the range of areola on both sides of the nipple. The four sides in lateral portion were dissected and two wedge-shaped dermal and glandular tissue flaps were created, completely releasing the contractive fiber causing nipple retraction while reserving breast ducts. The flaps were reversed 180 degrees through the tunnel bilateral sides of breast ducts to support the nipple. It was tracted for 3-4 weeks by series 7 needle penetrating the nipple basis. Results All the 14 patients were followed up for 3-18 months, and they were satisfied with the appearance and the aesthesia of the nipple and no recurrence was observed, breast-feed function reserved in 2 cases after childbirth. Conclusions This operation is easy to perform with satisfying aesthetic outcome and breast-feed function remaining.It is an ideal method for correcting serious inverted nipple.