Aesthetic Plastic Surgery

, Volume 36, Issue 2, pp 339–342 | Cite as

Correction of Inverted Nipple with “Arabesque”-Shape Sutures

  • Stamatis Sapountzis
  • Ji Hoon Kim
  • Pham Minh
  • Young Soo Hwang
  • Rong Min Baek
  • Chan Yeoung Heo
Original Article

Abstract

Background

Inverted nipples are a common self-concern for many women and also a relatively aesthetic problem for the plastic surgeon.

Methods

Many techniques for correcting inverted nipples have been reported, but none is totally successful. To avoid recurrence and to attain perfect shape of the nipple, the authors present a minimal-incision technique supported by “arabesque”-shape percutaneous sutures. First, four micro-incisions about 0.5 cm in size, each the circumference of the nipple, are designed horizontally. Second, after sufficient releasing of the loose connective tissue beneath the nipple, two 4/0 PDS sutures are made in perpendicular directions to increase the support and sustain the tissue under the nipple and to close the way the nipple inverts.

Results

This method was used to correct 22 inverted nipples of 18 patients classified as grade 3 or 4. The entire nipple remained everted and symmetric during a follow-up period of 3 months to 1 year except in two cases of recurrence during the early postoperative period due to a loose knot.

Conclusion

The described technique is simple, safe, and reliable, providing sustained results over the long-term follow-up period with a high rate of stable eversion and patient satisfaction.

Keywords

Arabesque-shape suture Inverted nipple 

References

  1. 1.
    Schwager RG, Smith JW, Grey GF et al (1974) Inversion of the human female nipple, with a simple method of treatment. Plast Reconstr Surg 54:564PubMedCrossRefGoogle Scholar
  2. 2.
    Park HS, Yoon CH, Kim HJ (1999) The prevalence of congenital inverted nipple. Aesthet Plast Surg 23:144e6CrossRefGoogle Scholar
  3. 3.
    Alexander JM, Grant AM, Campbell MJ (1992) Randomized control trial of breast shells and Hoffman’s exercises for inverted and nonprotractile nipples. Br Med J 304:1030CrossRefGoogle Scholar
  4. 4.
    Lee HB, Roh TS, Chung YK et al (1998) Correction of inverted nipple using strut reinforcement with deepithelialized triangular flaps. Plast Reconstr Surg 102:1253–1258PubMedCrossRefGoogle Scholar
  5. 5.
    Burm JS, Kim YW (2007) Correction of inverted nipples by strong suspension with areola-based dermal flaps. Plast Reconstr Surg 120:1483–1486PubMedCrossRefGoogle Scholar
  6. 6.
    Chen SH, Gedebou T, Chen PH (2007) The endoscope as an adjunct to correction of nipple inversion deformity. Plast Reconstr Surg 119:1178–1182PubMedCrossRefGoogle Scholar
  7. 7.
    Serra-Reom J, Fontdevila J, Monner J (2004) Correction of the inverted nipple with an internal 5-point star suture. Ann Plast Surg 53:293–296CrossRefGoogle Scholar
  8. 8.
    Teng L, Wu GP, Sun XM et al (2005) Correction of inverted nipple: an alternative method using continuous elastic outside distraction. Ann Plast Surg 54:120–123PubMedCrossRefGoogle Scholar
  9. 9.
    Yamada N, Kakibuchi M, Kitayoshi H et al (2004) A method for correcting an inverted nipple with an artificial dermis. Aesthet Plast Surg 28:233–238Google Scholar
  10. 10.
    McGeorge DD (1994) The “niplette”: an instrument for the nonsurgical correction of inverted nipples. Br J Plast Surg 47:46–49PubMedCrossRefGoogle Scholar
  11. 11.
    Han S, Hong YG (1999) The inverted nipple: its grading and surgical correction. Plast Reconstr Surg 104:389PubMedCrossRefGoogle Scholar
  12. 12.
    Axford WL (1889) Mammillaplasty. Ann Surg 9:277PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2011

Authors and Affiliations

  • Stamatis Sapountzis
    • 1
    • 2
  • Ji Hoon Kim
    • 1
  • Pham Minh
    • 1
  • Young Soo Hwang
    • 2
  • Rong Min Baek
    • 1
    • 3
  • Chan Yeoung Heo
    • 1
    • 3
  1. 1.Department of Plastic and Reconstructive SurgerySeoul National University, Bundang HospitalSeongnamRepublic of Korea
  2. 2.Lael-ClinicIncheonRepublic of Korea
  3. 3.Department of Plastic and Reconstructive SurgerySeoul National University, College of MedicineSeoulRepublic of Korea

Personalised recommendations