Breast SurgeryA New Simple Technique to Correct Nipple Inversion Using 2 V-Y Advancement FlapsPersichetti, Paolo MD, PhD; Poccia, Igor MD; Pallara, Tiziano MS; Delle Femmine, Pietro Francesco MD; Marangi, Giovanni Francesco MDAuthor Information From the Department of Plastic and Reconstructive Surgery, Campus Bio-Medico di Roma University, Via A. del Portillo 200, 00128 Rome, Italy. Received October 29, 2010, and accepted for publication, after revision, December 2, 2010. Conflicts of interest and sources of funding: none declared. Reprints: Giovanni Francesco Marangi, MD, Department of Plastic and Reconstructive Surgery, “Campus Bio-Medico di Roma” University, Via A. del Portillo 200, 00128 Rome, Italy. E-mail: [email protected]. Annals of Plastic Surgery: October 2011 - Volume 67 - Issue 4 - p 343-345 doi: 10.1097/SAP.0b013e318209a63e Buy Metrics Abstract Nipple inversion is a particular condition characterized by shorter galactophorous ducts, periductal fibrosis, and lack of soft tissue under the nipple base. It can be congenital or acquired, and it affects about 10% of the female population. Many operative techniques have been described seeking to correct this deformity, but a unique landmark strategy does not exist yet. Although acceptable results have been reported, every surgical technique has its drawbacks. We describe our 5 years' experience in correcting inverted nipples by using a simple personal approach. Between January 2004 and January 2009, we treated 52 patients presenting with nipple inversion using 2 V-Y dermoglandular flaps performed in the dermoglandular portion of the nipple. This method is effective in the correction of moderate and severe inverted nipple deformities. Follow-up period ranged from 1 to 6 years. Results showed recurrence in 1 case and postoperative complications in 3 patients. The authors have found this to be an ideal procedure for correcting inverted nipple; the use of an easy to perform V-Y flap ensures nipple protrusion and support, lactation, and minimal scars. © 2011 Lippincott Williams & Wilkins, Inc.