Inverted Nipple Treatment and Poliglecaprone Spacer

Dessena, Lidia; Dast, S.; Perez, Simon; Mercuţ, Răzvan; Herlin, Christian; Sinna, R.

doi:10.1007/s00266-018-1139-5

Cited by 13 publications

(2 citation statements)

References 33 publications

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“…3 ). Six studies described several types of sutures (Table 4 4 , 19 , 25 , 36 – 38 ), including peripheral circular stitches on the base of the nipple or internal sutures (Fig. 4 ).…”

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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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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“…3 ). Six studies described several types of sutures (Table 4 4 , 19 , 25 , 36 – 38 ), including peripheral circular stitches on the base of the nipple or internal sutures (Fig. 4 ).…”

Section: Resultsmentioning

confidence: 99%

Surgical Correction of Inverted Nipples

Mangialardi

Baldelli

Salgarello

et al. 2020

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

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“…Since then a constellation of techniques evolved, involving purse string sutures, local flaps, dermal grafts, autografts, blocking notches, implant insertion with biodegradable polydioxanone, injectable fillers, and external devices to maintain eversion. 13 – 28 Lactiferous preserving techniques have also been used. 7 , 23 Loop magnification and endoscopic techniques to release tight fibrous bands have been described.…”

Section: Introductionmentioning

confidence: 99%

Correcting Nipple Inversion Simultaneously with Implant Augmentation of the Breast, Using “Pirelli” Technique

Nara

Hodgkinson

2020

Plastic and Reconstructive Surgery - Global Open

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Background: Most techniques of isolated nipple inversion correction are well published. Simultaneous breast augmentation with nipple inversion correction is less often found in the literature. Previously, nipple inversion correction was thought to be performed as a staged procedure after other breast operations. We present a study of 19 patients and 34 breasts who had concomitant breast augmentation and nipple inversion correction treated with a “Pirelli” technique to assess the complication rates and the rate of recurrence of inversion. Methods: The Pirelli technique was used, involving division of lactiferous ducts and deep closure of breast tissue before closure. An external “Pirelli tire” was then applied and secured circumferentially around the nipple–areolar complex, which helped to maintain eversion of the nipple after 1 week. Patients were then followed up with specific postoperative instructions to ensure wound healing and maintenance of eversion. Results: Nineteen patients were included where 34 breasts were involved. Eighteen patients had primary breast implants. The recurrence rate was 5.9%, involving 2 patients who had unilateral recurrences. These patients were managed with the same technique and had no further recurrences. Two patients successfully breastfed at a median time of 10 years postoperatively. Conclusion: Simultaneous breast mammoplasty with nipple inversion correction using the Pirelli technique is safe with low complication rates and high long-term patient satisfaction.

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