Closed Inverted Nipple Treatment through a Microincision Procedure

Oj, Pereira Filho; Ely, Jorge Bins; As, Granemann; Ja, Bertelli; Sc, Abdalla

doi:10.1097/00006534-200109150-00030

Cited by 20 publications

(1 citation statement)

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“…In a previous report, 1 , 2 we described combined upward suture traction and percutaneous subcision to treat inverted nipple grade I and II. In this approach, the nipple is pulled up vertically with sutures and the retracted bands were released using 16- and 18-gauge needles that are placed percutaneously at the areolar border.…”

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Treatment of Skin Depression with Combined Upward Suture Traction and Percutaneous Subcision

Pereira

Ely

Paulo

et al. 2015

Plastic and Reconstructive Surgery - Global Open

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Background:Scar retraction and soft-tissue depression may compromise aesthetics and cause social embarrassment. The purpose of this study was to evaluate the results of treating soft-tissue depressions or retractions at varied anatomy regions with combined upward suture traction and percutaneous subcision.Methods:There were 40 patients (age: mean, 39 years; range, 22–55 years; 39 women and 1 man) (total, 77 soft-tissue lesions) who had treatment with the present technique from 1996 to 2013. Postoperative follow-up was from 6 months to 2 years. The treated anatomic areas were evaluated in 5 groups: (1) face (8 patients; 8 lesions); (2) gluteal (16 patients; 46 lesions); (3) breast (7 patients; 10 lesions); (4) abdomen (7 patients; 7 lesions); and (5) lower limb (2 patients; 6 lesions). The technique included placing a 2-0 nylon monofilament suture deep at the core of the depression, pulling vertically up with the suture, and using a needle or miniblade (placed percutaneously or through a small incision) to release the adhesions.Results:The depressions were released successfully in all patients. Bruises around treated areas persisted for 2–3 weeks. Moderate induration persisted until 3 months. In the gluteal region, 6 patients who had retracted areas with diameter >5 cm developed seroma after treatment; the seromas resolved after needle aspiration or placement of a Penrose drain for 2 weeks (2 patients).Conclusion:The present results confirmed the efficacy of the combined subcision method with upward traction at diverse body sites as previously reported for inverted nipple in the breast.

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