Scar-Free Technique for Inverted-Nipple Correction

Abstract

Background Inverted nipples are associated with aesthetic, functional, and psychological problems. In moderate to severe cases, triangular areolar dermal flap-based methods can effectively correct the condition. A triangular areolar dermal flap supports the nipple base as a result of a hammock-like action and fills the dead space beneath the nipple. However, these flaps leave visible scars on or deform the areola. Methods The authors describe a new technique based on the use of two triangular flaps. Compared with other techniques that use triangular flaps, the described technique does not involve areolar skin. Instead, triangular dermal flaps are elevated under the areolar skin, which overcomes the visible scarring issue. The devised technique has been used to correct 87 inverted nipples of 46 patients at our institute. Results No complications or recurrences were encountered, and resulting scars were almost invisible. All patients were satisfied with their postoperative results. Conclusion The described technique is straightforward and reliable and does not leave visible scars on areolar skin. In particular, it has been found to be especially useful for treating moderately to severely inverted nipples.