![]() Because breastfeeding, body image, and sexuality may be adversely affected by nipple inversion, women with this condition often choose to undergo surgical correction. For some women, issues of hygiene are important as well. The nipple is of great importance as a visual, nutritive, and sexual focus of the female body. B, D, Postoperative views 1 year after correction of nipple inversion. This technique released tension by incrementally dividing the lactiferous ducts under direct vision.Ī, C, Preoperative views of a 26-year-old patient. When necessary, selective ductal division was performed to achieve complete eversion with normal projection. Ductal structures were easily visualized and preserved during the dissection ( Figure 4). Blunt dissection achieved through the use of a vertical spreading technique parallel to the ducts restored varying degrees of projection ( Figure 1, A and B). The nipple base was approached through an inferior periareolar incision ( Figure 3). Initially we achieved nipple eversion using gentle traction with a skin hook ( Figure 2). All procedures were performed on an outpatient basis. ![]() Two patients presented with bilateral recurrence after undergoing a corrective procedure performed by another surgeon. Twenty-one of our female patients underwent repair of nipple inversion during the last 6 years 17 presented with bilateral nipple inversion and 4 with unilateral inversion. The technique produces excellent results without recurrence of nipple inversion. The use of traction stenting helps ensure eversion and protects the repair. Results: In a series of 21 patients, nipple eversion was maintained after at least 1 year's follow-up.Ĭonclusions: The technique for correction of nipple inversion reported here is focused on blunt dissection through vertical spreading parallel to the lactiferous ducts, with selective division of only those ducts that restrict nipple projection. To maintain the nipple in an overcorrected position, we placed a nylon traction suture through the center of the nipple and affixed to a stent consisting of a medicine cup and gauze padding. Selective ductal division was performed as necessary to obtain complete eversion with normal projection. Blunt dissection parallel to the ducts restored varying degrees of projection. The nipple base was approached with the use of an inferior periareolar incision through the subcutaneous tissue. Methods: We performed initial nipple eversion using gentle traction with a skin hook. ![]() Objective: We describe an integrated approach to the correction of nipple inversion that minimizes ductal disruption. Background: Many methods for the correction of the inverted nipple have been described, but no consensus has been reached as to which is the best approach. ![]()
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