Correction of Inverted Nipple with “Arabesque”-Shape Sutures

Sapountzis, Stamatis; Kim, Ji Hoon; Minh, Pham Ngoc; Hwang, Young Soo; Baek, Rong Min; Heo, Chan Yeoung

doi:10.1007/s00266-011-9827-4

Cited by 11 publications

(5 citation statements)

References 14 publications

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“…Concerning surgical strategies, 4 studies described techniques with lactiferous ducts damaging (Table 1 15 , 18 , 29 , 31 ), 25 described techniques with lactiferous ducts preservation and 4 studies included both (Table 2 6 , 13 , 16 , 41 ) (Fig. 2 ).…”

Section: Resultsmentioning

confidence: 99%

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Surgical Correction of Inverted Nipples

Mangialardi

Baldelli

Salgarello

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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Background: Nipple inversion is a common pathologic condition affecting 2%–10% of women. Congenital inversions are the most common forms, while acquired inversions are less frequent. This condition can induce psychological discomfort, functional problems that could prevent adequate breast feeding, and cosmetic dissatisfaction, and create local irritation and infection. The aim of this article was to provide a comprehensive review of the literature about surgical treatment of inverted nipple. Methods: A literature search was conducted by using PubMed, Google Scholar, and Cochrane database using the following MeSH terms: “inverted nipple,” “inverted nipple surgery,” “inverted nipple treatment,” and “inverted nipple management.” Studies that described surgical treatment and included outcomes and recurrence rate were included. Results: Thirty-three articles were considered suitable, including 3369 inverted nipple cases. Eight studies described techniques with lactiferous ducts damaging, while 25 studies described techniques with lactiferous duct preservation using dermal flaps, sutures, or distractor systems. The average follow-up was 23.9 months. Overall, a satisfactory correction was reached in 88.6% of cases, and the recurrence rate was 3.89%. Conclusions: To our knowledge, our review includes the largest sample size in the literature. The heterogeneity and subjectivity of outcomes make it more complicated to state which is the best surgical strategy to adopt to obtain satisfactory and stable results with minimal morbidity. This study highlights the need of a standardized method to evaluate outcomes, including aesthetic, functional and psychological results, while using objective and subjective measurement instruments.

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Section: Resultsmentioning

confidence: 99%

“…Eleven authors explicitly described the placement of a temporary traction (3–30 days) 19 , 33 , 34 , 41 or a “donut” dressing to avoid a postoperative compression (2 weeks–6 months). 14 , 15 , 21 , 24 , 28 , 29 …”

Section: Resultsmentioning

confidence: 99%

Surgical Correction of Inverted Nipples

Mangialardi

Baldelli

Salgarello

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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“…Some techniques are based on the release of fibrous bands at the base of the nipple, assuming that the inverted nipple originates from the retractile duct for whatever reason. 16 Axford,17 in 1889, was the first surgeon to describe a pursestring suture, along with some excision of skin. Since then, modifications of this technique have been suggested.…”

Section: Discussionmentioning

confidence: 98%

Inverted Nipple With Nipple-Sparing Mastectomy

Yim

Lee²

2016

Annals of Plastic Surgery

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The simple method of baseline suturing that only tightens the nipple base with nipple-sparing mastectomy has been used in our center over a 10-year period in patients with breast cancer and an inverted nipple. The retractile duct or fibrous cord was completely cut with nipple-sparing mastectomy, and over 70% of inverted nipples in the patients were improved and maintained with only the tightening of the base of the nipple. Our results show that inverted nipple is caused by tight fibrous band or short duct rather than a lack of subareolar tissue.

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“…Most of the procedures involve releasing retractile ducts and fibrous bands at the base of the nipple. However, these techniques can cause injury to normal lactiferous ducts and sensory dysfunction [11].…”

Section: Discussionmentioning

confidence: 99%