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Inverted Nipple Treatment and Poliglecaprone Spacer

  • ORIGINAL ARTICLE
  • BREAST SURGERY
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Introduction

Nipple inversion is defined as a non-projectile nipple. It is a frequent pathologic condition, in which the whole nipple, or a portion of its, is buried inward towards the lactiferous duct and lies below the plane of the areola. Numerous strategies have been described to correct nipple inversion. All the procedures have the purpose to give a good shape to the nipple, preserving its function and sensitivity, when it is possible. To avoid recurrences and to obtain good aesthetic results, we present a modified percutaneous technique.

Method

We performed a retrospective study between 2011 and 2016 and included all the cases of inverted nipples treated in our department. Our modified percutaneous technique consists of a minimal incision supported by a percutaneous suture as a temporary spacer to fill the defect caused by releasing the fibro-ductal bands.

Results

A total of 41 cases of inverted nipples were corrected in 32 patients. After 1 year of follow-up, no recurrence was observed and all nipples maintained complete eversion. There was only one case of partial unilateral necrosis in a patient who underwent tumorectomy and radiotherapy. All patients were satisfied with the aesthetic outcomes.

Conclusion

This is a simple, safe and cheap technique that should be considered as a reliable method for long-term correction of nipple inversion.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Funding

The author received no financial support for the research, authorship or publication of this article.

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Authors and Affiliations

  1. Department of Plastic Reconstructive and Aesthetic Surgery, University Hospital of Picardie, Amiens, France

    Sandy Dast, Simon Perez & Raphael Sinna

  2. Department of Plastic and Craniofacial Surgery, University Hospital of Montpellier, Montpellier, France

    Lidia Dessena & Christian Herlin

  3. Department of Plastic and Reconstructive Surgery, UMF Craiova, Craiova, Romania

    Razvan Mercut

  4. Department of Plastic, Reconstructive and Aesthetic Surgery, Amiens University Hospital, Hopital Sud, 80054, Amiens Cedex 01, France

    Sandy Dast

Authors
  1. Lidia Dessena
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  2. Sandy Dast
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  3. Simon Perez
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  4. Razvan Mercut
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  5. Christian Herlin
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  6. Raphael Sinna
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Correspondence to Sandy Dast.

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Dessena, L., Dast, S., Perez, S. et al. Inverted Nipple Treatment and Poliglecaprone Spacer. Aesth Plast Surg 42, 958–963 (2018). https://doi.org/10.1007/s00266-018-1139-5

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  • DOI: https://doi.org/10.1007/s00266-018-1139-5

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