Chinese Academy of Medical Sciences, Beijing, China.
Aesthetic Plast Surg. 2012 Oct;36(5):1151-4. doi: 10.1007/s00266-012-9959-1. Epub 2012 Aug 31.
An inverted nipple affects not only the aesthetic appearance of the breast but also breastfeeding. Most surgical procedures can cause injury to normal lactiferous ducts and sensory dysfunction. The authors present a simple, safe, and minimally invasive technique for treating inverted nipples.
A distracter was made using the distal end of a 5- or 10-ml disposable syringe. The length was 1.3-1.5 cm, and pinholes with a diameter of 1 mm were punctured at 3, 6, 9, and 12 o'clock at the apex of the distracter. The inverted nipple was pulled out, and two steel wires with a diameter of 0.6 mm were crossed through the nipple base and fixed to the external distracter. After surgery, the wires were tightened once per month. According to the severity of the nipple inversion, the distracter was removed after 4-6 months of traction.
This method was used to correct 604 inverted nipples of 310 patients. The follow-up period ranged from 6 months to 2 years. No complications associated with surgery such as infection, depigmentation, sensory disturbance, or nipple necrosis occurred. The great majority of the patients (95.8 %) were satisfied with the aesthetic results.
The described technique is minimally invasive, simple, safe, reliable, and low in cost. Satisfying aesthetic results can be achieved without destroying breastfeeding function or nipple sensation.
This journal requires that authors assign a level of evidence to each article.
乳头内陷不仅影响乳房的美观，还会影响哺乳。大多数手术方法都会损伤正常的输乳管和感觉功能。作者介绍了一种治疗乳头内陷的简单、安全、微创技术。
使用 5 或 10ml 一次性注射器的远端制作一个牵拉器，长度为 1.3-1.5cm，在牵拉器顶端的 3、6、9 和 12 点钟方向戳 1mm 直径的小孔。将乳头内陷处拉出，将两根直径为 0.6mm 的钢丝穿过乳头基部并固定在外部牵拉器上。术后每月收紧一次钢丝。根据乳头内陷的严重程度，牵拉 4-6 个月后去除牵拉器。
该方法用于矫正 310 例患者的 604 个乳头内陷。随访时间为 6 个月至 2 年。无手术相关并发症，如感染、脱色、感觉障碍或乳头坏死。绝大多数患者（95.8%）对美学效果满意。
该技术微创、简单、安全、可靠，成本低。不破坏哺乳功能和乳头感觉，可获得满意的美学效果。
证据等级 IV：本杂志要求作者为每篇文章分配一个证据等级。
