A simple and easy technique to correct inverted nipple deformities

Abstract

Inverted nipple is a relatively frequent condition that is characterized by short galactophorous ducts, periductal fibrosis and lack of soft tissue under nipple base. It may be congenital or acquired. Many techniques have been described to treat this condition. We propose a new technique which is simple and easy, with very natural and long lasting results. We applied this technique on 24 nipples. The operation consisted of making six small stabbing incisions at the nipple base with subsequent release of the short fibrotic ducts using scissors and then a purse-string suture of the nipple base is performed through the small incisions while the nipple is pulled up by a skin hook. A supporting frame is applied for at least 2 weeks to support the nipple in its projected position. Postoperatively, there were no notable subsequences and the pain was minimal. We report one case of recurrence in a patient who refused to keep the supporting frame. We believe that the proper application of the supporting frame is mandatory. We highly recommend this technique to treat moderate to severe inverted nipple deformities.