Procedure for correction of inverted nipple using tiny incision with primary breast ducts reserved
10.3760/cma.j.issn.1671-0290.2023.03.002
- VernacularTitle:保留主乳腺导管的微小切口矫正乳头凹陷的效果
- Author:
Youchen XIA
1
;
Bi LI
;
Jianxun MA
;
Lijun ZOU
Author Information
1. 北京大学第三医院成形外科，北京 100191
- Keywords:
Nipples;
Inverted nipple;
Purse-string suture;
Breast ducts;
Correction
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2023;29(3):171-173
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the procedure for correction of inverted nipple using tiny incision with primary breast ducts reserved.Methods:A total of 35 patients (63 sides) with primary inverted nipples from January 2006 to March 2019 were reviewed retrospectively. Tiny radial incisions were made on the areola around the base of the inverted nipple which had been pulled out. Without skin removed, shorten fiber bundles which caused nipple inverted were totally cut and released. While the primary breast ducts were preserved, purse-string suture was taken around the base of the nipple. The nipple protector was prepared by ourselves, and the nipple was pulled and suspended for 2-6 months.Results:Sixty-three sides of 35 patients with inverted nipples were successfully corrected by this minimally invasive surgery. There was no nipple necrosis. One patient developed mild swelling 3 weeks after operation, and the swelling subsided after symptomatic anti-inflammatory treatment. The average follow-up period was 39 months. After removing the nipple protector, 2 sides (2/63) had a certain degree of recurrence. The rest of the nipples had ideal shape, no obvious scar, good nipple feeling, and retained the possibility of lactation.Conclusions:The procedure for correction of inverted nipple using tiny incision with primary breast ducts reserved has advantages of minimal invasion, safety, less pain, while retaining the possibility of lactation in the future. The clinical effect is satisfactory. It is especially suitable for the correction of type Ⅰ and type Ⅱ inverted nipples.
