Double U-Plasty for the Correction of Nipple-Areola Complex Malposition
Malposition of the nipple-areola complex (NAC) is a commonly encountered problem in aesthetic and reconstructive breast surgery, which has a significant impact on the overall appearance of the breast. It can be associated with the natural aging process of the breast producing a low-sitting NAC, and multiple techniques have been described to address this. Cranial or lateral malposition is less frequently seen, but poses a significant challenge to the surgeon to correct while minimizing the concurrent alternation to the shape and function of the breast and additional scarring. The authors describe the double U-plasty to correct the malpositioned nipple. This is a simple, safe, and reproducible technique that allows the NAC to be moved in any direction with minimal scarring. With careful planning and technique, the sensation to the nipple and the function of the ductal system can also be preserved.