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Inverted nipples correction with glandular retropapillar flap: demonstration of a technique

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Abstract

Inverted nipples constitutes functional and esthetic problems, generating frustration in women regarding breastfeeding and reduced self-esteem and self-efficacy in appearance. Many techniques for surgical correction have already been described. Most use dermal patches of the areola alone or associated with sutures that fit in the base of the papilla. Description of technique for correction of inverted nipple through a series of bilateral or unilateral cases. The surgery presents adequate projection of the nipple, sensitivity and functionality is preserved, and satisfaction with the postoperative result. This study demonstrates an easily reproduced technique that spares local tissue, using a small incision and mobilizes sufficient volume to project the papilla, without deforming the areola.

Level of Evidence: Level IV, therapeutic study

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Acknowledgements

Authors would like to thank Craig Parviz Mehjou MSc, BSc and Zayd Al-Khafaji for reviewing the manuscript.

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Correspondence to Ary Santos Silva.

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Funding

The present study did not receive any funding.

Conflict of interest

H. R. Paoliello Júnior, A. S Silva, F. S. Cardoso, and W. A. Campos declare that they have no conflict of interest.

Ethics approval

The principles of the revised Declaration of Helsinki [9] were respected, as well as Resolution 466/12 of the Brazilian National Health Council [10] and the study approved by Ethics Committee of Faculdade de Medicina de Marília (FAMEMA), São Paulo, Brazil.

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Informed consent was obtained from all individual participants included in the study.

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de Rezende Paoliello, H., Silva, A.S., Cardoso, F.S. et al. Inverted nipples correction with glandular retropapillar flap: demonstration of a technique. Eur J Plast Surg 42, 85–90 (2019). https://doi.org/10.1007/s00238-018-1458-4

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  • DOI: https://doi.org/10.1007/s00238-018-1458-4

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