Correction of the inverted nipple by using deepithelialized wedge-shaped dermis flaps in 21 patients

Abstract

Objective To explore a new surgery for grade Ⅱ and Ⅲ inverted nipples with a mass near the areola in the breast. Methods Twenty-one patients who had gradeⅡ or Ⅲ inverted nipples with a mass near the areola in the breast were treated from October 2010 to January 2013 as followed: a deepithelialized wedge-shaped dermis flap connected to the areola was designed between the mass in breast and areola. After the mass was removed and the shortened lactiferous ducts and fibrous bands beneath the nipple were released, the flap was rolled up and put into the nipple as supporting tissues. Purse string suture was performed in case of the nipple retracting. Results The appearances of the 21 nipples were satisfactory. There was no decreasing sensation of the nipple and incision scar was indistinct after 6 months' follow-up. Two of the grade Ⅲ nipples showed slight retraction but was much better than the shape before operation. And the patients did not ask for a second operation. Conclusions There are various kinds of surgical procedure for nipple inversion. Choosing the one that fits the patient is very important. This kind of surgery corrects inverted nipples and removes the masses and the threat caused by the nipple inversion at the same time. Aimed at patients with gradeⅡ and Ⅲ inverted nipple and a mass in the breast, it is worth popularizing with its easy performance and satisfying outcome. Key words: Nipple; Nipple inversion; Dermis flap; Correction