In Charm United Institute, we perform multilevel z-plasty to correct any grades of nipple inversion.
A Z-shaped incision is made and the inverted nipple is retracted out and split. The underdeveloped lactiferous ducts and the surrounding contracted fibrous tissues are released. Then the Z-shape flap is transposed to restore sufficient nipple protrusion and fill the dead space with underlying breast and connective tissues.
Compared to other surgical approaches, such as nipple retractor support with wires or flap-plasty, multilevel z-plasty can be used to correct any grades of inverted nipples with a simple incision and Z-shaped flap. Due to its advantage of simple incision, nearly invisible scar, good surgical outcome and low recurrence rate, multilevel z-plasty has become the standard surgical procedure in our clinic to correct nipple inversion.
Multilevel Z-plasty for nipple inversion correction
The surgery is performed under local anesthesia. The patient will only feel pain during the 30-40 seconds while being given injection of local anesthetics at the areola area.
Conventional liposuction using cannula in larger diameter to harvest fat for autologous fat transfer breast augmentation may have a shorter duration of liposuction procedure. However it cannot precisely collect usable fat grafts in good quality. Besides there is higher chance that the harvested fat grafts get exposed to the air during the subsequent centrifugation and reinjection procedures. In Charm United Institute, our team of skilled surgeons use calibrated equipment and liposuction cannula in smaller diameter that greatly improves the surgical outcome and reduce risk of postoperative complications.
Q 1. What are the causes of inverted nipples?
Causes of inverted nipples can be congenital underdevelopment or acquired medical conditions. Congenital nipple inversion occurs during fetal development or adolescence, which are caused by underdevelopment or fibrosis of lactiferous ducts. Medical condition can also cause nipple retraction, such as the tumor attacking the ducts behind the nipple and pulling it in.
Q 2. Is surgery the only treatment for nipple inversion?
Women with inverted nipple may seek treatment for aesthetic reasons or breastfeeding issues. If you're looking for something permanent, the only option is surgery.
Q 3. Does inverted nipple relapse after surgical correction?
In Charm United Institute, we perform multilevel z-plasty to correct any grades of nipple inversion. As long as the surgery is well performed to separate the contracted fibrous tissue, pull out the nipple, followed by securing the protruding nipple firmly to a proper position, the recurrence rate is fairly low.
Q 4. Can women underwent nipple inversion correction surgery breastfeed?
It depends. Usually patients with preoperative inverted nipple in lower grade preserve better breastfeeding function after surgery.
Q 5.Can nipple inversion correction surgery affect sensation?
The surgery procedure performed in our clinic rarely affects nipple sensation. About 90% of the patients have almost unchanged sensation.
Q 6. Can I sleep on stomach after nipple inversion correction surgery?
It is recommended that patient underwent nipple surgery should avoid sleep on stomach for one month at least to prevent the nipple being pressed leading to recurrence of inversion.
Dr. Yi-Sheng Kao Director | Plastic Surgery Aesthetic Clinic
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