Department of Plastic and Reconstructive Surgery, Seoul National University, Bundang Hospital, 166 Gumiro, Bundang, Seongnam, Gyeonggi, 463-707, Republic of Korea.
Aesthetic Plast Surg. 2012 Apr;36(2):339-42. doi: 10.1007/s00266-011-9827-4. Epub 2011 Oct 20.
Inverted nipples are a common self-concern for many women and also a relatively aesthetic problem for the plastic surgeon.
Many techniques for correcting inverted nipples have been reported, but none is totally successful. To avoid recurrence and to attain perfect shape of the nipple, the authors present a minimal-incision technique supported by "arabesque"-shape percutaneous sutures. First, four micro-incisions about 0.5 cm in size, each the circumference of the nipple, are designed horizontally. Second, after sufficient releasing of the loose connective tissue beneath the nipple, two 4/0 PDS sutures are made in perpendicular directions to increase the support and sustain the tissue under the nipple and to close the way the nipple inverts.
This method was used to correct 22 inverted nipples of 18 patients classified as grade 3 or 4. The entire nipple remained everted and symmetric during a follow-up period of 3 months to 1 year except in two cases of recurrence during the early postoperative period due to a loose knot.
The described technique is simple, safe, and reliable, providing sustained results over the long-term follow-up period with a high rate of stable eversion and patient satisfaction.
内陷乳头是许多女性常见的自身关注问题，也是整形医生面临的一个相对美学问题。
已有多种矫正内陷乳头的技术被报道，但都不能完全成功。为了避免复发和达到乳头完美的形状，作者提出了一种微创技术，该技术由“阿拉伯式花纹”皮内缝线支撑。首先，在乳头周围设计四个约 0.5 厘米大小的水平微切口。其次，在充分松解乳头下方的疏松结缔组织后，采用两个 4/0 PDS 缝线以垂直方向进行缝合，以增加对乳头下方组织的支撑和维持，以及关闭乳头内陷的途径。
该方法用于矫正 18 名患者的 22 个 3 级或 4 级内陷乳头。在 3 个月至 1 年的随访期间，除了 2 例因缝线结松动而在术后早期复发外，整个乳头保持外凸和对称。
该技术简单、安全、可靠，在长期随访中提供了持久的效果，乳头外凸稳定率高，患者满意度高。
