Aesthetic Plastic Surgery

, Volume 13, Issue 3, pp 189–197 | Cite as

Inverted nipple: The new method of correction

  • Jacques Marin Crestinu


A new technique for correcting inverted nipples is described. It consists of the sectioning of the only genetic factor—the resistance of the collagen fibers—by undermining, under the control of a palper. The trophicity of the nipple is assured by a circular “umbrella” musculocutaneous flap containing the superficial vascular system. A subdermal cutaneous notch “blocks” the nipple and prevents any recurrence.

Key words

Nipple, inverted Blind surgery Inverted, invaginated, or umbilicated nipples Circular “umbrella” musculocutaneous flap 


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  1. 1.
    Alvarez Morujo A: Las arterias terminales de la mamma y sus relaciones à la flurescencia segun diversas circunstancias. An Anat17:23–32, 1968Google Scholar
  2. 2.
    Arie B: Una nueva tecnica de mastoplastie. Rev Lat Am Cir Plast3:23–38, 1957Google Scholar
  3. 3.
    Axford WL: Mamillaplasty. Ann Surg9:278, 1889Google Scholar
  4. 4.
    Basch K: Zur anatomic und physiologie der Brustware. Arch Gynäk44:37, 1893Google Scholar
  5. 5.
    Bercovici JP: Physiologie de la glande mammaire. Vie Méd 27, 1972Google Scholar
  6. 6.
    Biesenberger H: Eine neue methode der mammaplastik. Zbl. Chir38:2382–2387, 1928Google Scholar
  7. 7.
    Broadbent TR, Woolf RM: Benign inverted nipple. Transnipple areolar correction. Plast Reconst Surg58:673, 1976PubMedGoogle Scholar
  8. 8.
    Cooper AP: Anatomy of the breast. London: Longmans 1840.Google Scholar
  9. 9.
    Courtiss EH, Goldwyn RM: Breast sensation before and after plastic surgery. Plast Reconstr Surg58(1):1976, 1983Google Scholar
  10. 10.
    Crestinu JM: Le méthode aveugle dans la correction chirurgicale des mamelons inversés. Gynecol Obstret146:20–23, 1986Google Scholar
  11. 11.
    Crestinu JM: A propos du traitement des mamelons inversés. Concours Med108(7):2334, 1986Google Scholar
  12. 12.
    Crestinu JM: The inverted nipple. A blind method of correction. Plast Reconstr Surg79:127–130, 1987PubMedGoogle Scholar
  13. 13.
    Crestinu JM: Mamelons inversés: une correction chirurgicale possible. Vie Méd No. 7, 1 Mars 1987Google Scholar
  14. 14.
    Crestinu JM: La corrections des mamelons inversés. La Méthode aveugle. Ann Chir41(5):357–360, 1987PubMedGoogle Scholar
  15. 15.
    Crestinu JM: Mamelons inversés. La méthode aveugle. 89è Congrès Français de Chirurgie, 21–24 September 1987Google Scholar
  16. 16.
    Crestinu JM: Mamelons ombiliqués: une chirurgie efficace. Généraliste No. 958, 12–14, 1987Google Scholar
  17. 17.
    D'Assupcao EA, Rosa EMS: Correcting the inverted nipple. Br J Plast Surg30:249–250, 1977PubMedGoogle Scholar
  18. 18.
    Dufourmentel L: Chirurgie réparatrice et correctrice des téguments et des formes. Paris: Masson, 1939Google Scholar
  19. 19.
    Dufourmentel C, Mouly R: Plastie mammaire par la méthode oblique. Ann Chir Plast6:45–58, 1961PubMedGoogle Scholar
  20. 20.
    Edholm P, Strombeck JO: Influence of mammoplasty on the arterial supply to the hypertrophic breast. Angiography before and after operation. Acta Chir Scand 124:521–530, 1962Google Scholar
  21. 21.
    Elbaz JS, Verheecke G: La cicatrice en l'dans les plasties mammaires. Ann Chir Plast17:283–292, 1972PubMedGoogle Scholar
  22. 22.
    Elsahy NI: An alternative operation for inverted nipple. Plast Recon Surg57:438, 1976Google Scholar
  23. 23.
    Farina MA, Newby G, Alani HM: Innervation of the nipple-areola complex. Plast Reconstr Surg66:497–501, 1980PubMedGoogle Scholar
  24. 24.
    Galtier M: Chirurgie esthétique mammaire. Paris: G. Doin, 1955, p 215Google Scholar
  25. 25.
    Gangal JT, Gangal MH: Suction method for correcting flat nipples or inverted nipples. Plast Reconstr Surg61:294–296, 1978PubMedGoogle Scholar
  26. 26.
    Giacometti L, Montagna W: The nipple and the areola of the human female breast. Anat Reconstr144:191–197, 1962Google Scholar
  27. 27.
    Goldwyn FM: Plastic and Reconstructive Surgery of the Breast, 1st ed. Boston: Little, Brown, 1976, p 416Google Scholar
  28. 28.
    Goldwyn RM: The unfavorable result in plastic surgery. Boston: Little Brown, 1972, p 380Google Scholar
  29. 29.
    Goulian D Jr: Dermal mastopexy. Plast Reconstr Surg47:105–110, 1971PubMedGoogle Scholar
  30. 30.
    Hamilton JM: Inverted nipples. Plast Reconstr Surg65:507–509, 1980PubMedGoogle Scholar
  31. 31.
    Hartrampf CR, Schneider WJ: A simple direct method for correction inversion of the nipple. Plast Reconstr Surg58:678, 1976PubMedGoogle Scholar
  32. 32.
    Hauben DJ: Correction of the inverted nipple. Plast Reconstr Surg80(3): 470–471, 1988Google Scholar
  33. 33.
    Hauben DJ, Mahler D: A simple method for the correction of the inverted nipple. Plast Reconstr Surg71:556–559, 1983PubMedGoogle Scholar
  34. 34.
    Hinderer UT, Del Rio JL: Treatment of the postoperative inverted nipple with or without asymmetry of the areola. Aesth Plast Surg7:139, 1983Google Scholar
  35. 35.
    Julliard A: Traitement du mamelon ombiliqué. Ann Chir Plast12:251–253, 1967PubMedGoogle Scholar
  36. 36.
    Lalardrie JP: The “dermal vault” technique. Reduction mammoplasty for hypertrophy with ptosis. Trans III Tag Verng Dtsch Plast Chir Köln 105–108 1972Google Scholar
  37. 37.
    Lalardrie JP, Jouglard JP: Plasties mammaires pour hypertrophie et ptose. Paris: Masson, 1973Google Scholar
  38. 38.
    Lamont E: Congenital inversion of the nipple in identical twins. Br J Plast Surg26:178, 1973PubMedGoogle Scholar
  39. 39.
    Letterman B, Schurter M: Suggested nomenclature for aesthetic and reconstructive surgery of the breast. I: breast reduction. Aesth Plast Surg7:187, 1983Google Scholar
  40. 40.
    Maliniac JW: Arterial blood supply of the breast. Arch Surg47:329–343, 1943Google Scholar
  41. 41.
    Marc H: La plastie mammaire par la “méthode oblique.” Paris: G. Doin, 1952Google Scholar
  42. 42.
    McKissock PD: Reduction mammoplasty with vertical dermal flap. Plast Reconstr Surg49:245–252, 1972PubMedGoogle Scholar
  43. 43.
    Mitz V: Plastie mammaire par la technique de la voûte dermique. Thèse Med, Paris, 1973Google Scholar
  44. 44.
    Mitz V, Lassua JP: Note sur les rapports entre les territoires artériels cutanés et glandulaires du sein chez la femme (communication) Bull Soc Anat Paris Mar 1973Google Scholar
  45. 45.
    Pfaundler X: Reconstructive and Reparative Surgery. Philadelphia: F. A. Davis Co., 1958, p 486Google Scholar
  46. 46.
    Picaud AJ, Sabatier PhH: Un procédé simple de désombilication du mamelon dit en bouchon de champagne. RMSM2:111–115, 1978Google Scholar
  47. 47.
    Pitanguy I, Cavalcanti M: Inverted nipple. Med Hoje2:798, 1976Google Scholar
  48. 48.
    Pitanguy I et al: Inverted nipple. Rev Bras Cir64:199, 1974Google Scholar
  49. 49.
    Ramakrishnan KM, Rao DC: Congenital inversion of the human nipple. Aesth Plast Surg4:65–72, 1980Google Scholar
  50. 50.
    Randall P, Dabb R, Loc N: “Apple coring” the nipple in subcutaneous mastectomy. Plast reconstr Surg64:800, 1979PubMedGoogle Scholar
  51. 51.
    Salmon M: Les artères de la glande mammaire. Ann Anat Pathol16(4):477–500, 1939Google Scholar
  52. 52.
    Schwager RG, Smith JW, Gray GF, Goulian D Jr: Inversion of the human female nipple, with a simple method of treatment. Plast Reconstr Surg54:564–569, 1974PubMedGoogle Scholar
  53. 53.
    Schwartzmann E: Uber eine neue methode der mammaplastik. Wien Med Wschr86:100–102, 1936Google Scholar
  54. 54.
    Shafir R, Bonne Tamir B, Ashbell S, Tsur H, Goodman RM: Genetic studies in a family with inverted nipple (mammillae inverteita Clin Genet15:346, 1979PubMedGoogle Scholar
  55. 55.
    Skoog T: An operation for inverted nipples. Br J Plast Surg5:65–69, 1953Google Scholar
  56. 56.
    Skoog T: A technique of breast reduction. Acta Chir Scand126:453–465, 1963PubMedGoogle Scholar
  57. 57.
    Skoog T: Surgical correction of inverted nipple. J Am Med Women's Assoc20:931–935, 1965Google Scholar
  58. 58.
    Snyder C, Browne ES, Pickens JE: In: Goldwyn RM (ed), Reconstructive problems of the nipple and areola in “Plastic and Reconstructive Surgery of the Breast.” Boston: Little Brown 1976, p 411Google Scholar
  59. 59.
    Spina V: Inverted nipple contribution to the surgical treatment. Plast Reconstr Surg19:63, 1957PubMedGoogle Scholar
  60. 60.
    Strombeck JO: Mammoplasty: report of a new technique based on the two pedicle procedure. Br J Plast Surg13:79–90, 1960PubMedGoogle Scholar
  61. 61.
    Sykes PA: The nerve supply of the human nipple. J Anat London105:201–207, 1969Google Scholar
  62. 62.
    Teimourian B, Adham NM: SImple technique for correction of inverted nipple. Plast Reconstr Surg65:504–506, 1980PubMedGoogle Scholar
  63. 63.
    Testut L, Latarjet A: Traité d'anatomie humaine, 9th ed. Paris: G. Doin, 1949, Tome V, pp 582–614Google Scholar
  64. 64.
    Wise RJ: Surgical management of the hypertrophic breast Symposium on Aesthetic Surgery of the Face Eyelid and Breast. St. Louis: C. V. Mosby, 1972, pp 174–182Google Scholar
  65. 65.
    Wolfort FG, Marshall KA, Cochran T: Correction of the inverted nipple. Ann Plast Surg1:294, 1978PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1989

Authors and Affiliations

  • Jacques Marin Crestinu
    • 1
  1. 1.ParisFrance

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