Abstract
Inverted nipple is a relatively frequent condition that is characterized by short galactophorous ducts, periduc- tal fibrosis and lack of soft tissue under nipple base. It may be congenital or acquired. Many techniques have been de- scribed 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 oper- ation 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.Webelievethattheproperapplicationofthesupporting frame is mandatory. We highly recommend this technique to treat moderate to severe inverted nipple deformities.
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