Retracted/Inverted Nipple – Patient 111

A woman in her late teens who is bothered by inverted nipples . She has the most severe category of nipple retraction and would be considered Han and Hong grade III: “ The nipple is severely inverted and retracted. It is very difficult to pull the nipple out manually”
Many different methods have been described for correction. What has worked well in my hands is a micro-incision technique . The severely retracted nipple has ducts which are short and retracted, with a lack of soft tissue. The tethered nipple ducts are released with a microinciision using a special instrument and then held out to length with a special stent. In this way we can avoid buried sutures and dermal, connective tissue or skin flaps. She is shown before and again, 6 weeks after correction under local anesthesia in the office.