Trans-nipple double Z-plasty for benign periareolar disease with inverted nipple.
BACKGROUND
Various surgical procedures have been reported for correction of inverted nipples. The authors herein report a new procedure, "the trans-nipple double Z-plasty," for correction of inverted nipples combined with periareolar disease requiring excision.


METHODS
From July 2010 to June 2012, 11 unilateral inverted nipples with other benign periareolar diseases were treated with this technique. A midline incision and 5-mm Z-incisions were designed on the nipple-areola complex toward the direction of the combined breast disease. After removal of combined benign disease through the trans-nipple double Z-plasty incision, the defect was filled with surrounding breast tissue, and the inverted nipple was corrected.


RESULTS
One case of partial necrosis improved with conservative treatment. No recurrence was reported during the follow-up period. Five patients each assessed the cosmetic result as excellent and good.


CONCLUSIONS
The trans-nipple double Z-plasty is an easy and useful technique for simultaneous management of periareolar disease with an inverted nipple.


METHODS
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Department of Surgery, Medical Research Institute, Pusan National University, Busandaehak-ro 63 beon-gi, Geumjeong-gu, Busan, 609-735, Republic of Korea.
Jeeyeon
J
Lee
Seokwon
S
Lee
Youngtae
Y
Bae
D000328:Adult; D001941:Breast Diseases / Q000473:pathology / Q000601:surgery*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009558:Nipples / Q000002:abnormalities / Q000601:surgery*; D061646:Operative Time; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D013518:Surgery, Plastic / Q000379:methods*; D013536:Suture Techniques; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology