Correction of recurrent grade III inverted nipple with antenna dermoadipose flap: Case report

Background: Numerous techniques have been reported for the correction of the inverted nipple. It was also reported that no single technique was appropriate for correcting all types of nipple deformities because different grades of inverted nipple have different levels of fibrosis, soft tissue bulk, and lactiferous ductus stucture. In this article a novel technique for the repair of recurrent grade III inverted nipple is described in detail. Methods: In this technique, dermoadipose flaps were generated within the area of de-epithelialization of mastopexy. The flap is called "antenna flap" because of its designing. Results: No major vital complications such as necrosis of the major flap or nipple were seen. There was no recurrence of nipple inversion after 15 months. The shape and projection of the patient's nipple was deemed satisfactory. Conclusion: This technique yielded a satisfactory result without recurrence of inversion. It should be considered for use on any patient contemplating correction of inverted nipple and mastopexy. It should be emphasized that this technique also permits the performance of mastopexy in conjunction with the correction of inverted nipple.