inverted nipple correction

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INVERTED NIPPLE CORRECTION Shailesh Nisal Ramya Nisal Sparsh Clinics Nagpur India www.sparshclinics.com

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Post on 29-Nov-2014

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DESCRIPTION

Nipple retraction is Congenital. Correction is for Cosmetic reasons. It is a complex operation where the ducts have to be preserved and the fibrous bands severed to correct the pulling force.

TRANSCRIPT

Page 1: Inverted Nipple Correction

INVERTED NIPPLE CORRECTION

Shailesh NisalRamya Nisal

Sparsh Clinics Nagpur Indiawww.sparshclinics.com

Page 2: Inverted Nipple Correction

ISSUES

Will the everted nipple stay or re retract?

Nulliparous….will she be able to breast feed?

Page 3: Inverted Nipple Correction

Left Inverted Nipple with fibroadenomas both breasts

Page 4: Inverted Nipple Correction

Lumps and periareolar incisions marked preoperatively

Page 5: Inverted Nipple Correction

Excised fibroadenoma and dissection for ducts/tethering bands

Page 6: Inverted Nipple Correction

Sutures to pull at everted nipple, splint to keep it in position

Page 7: Inverted Nipple Correction

Splint can be lifted to inspect, retained for 3 weeks

Page 8: Inverted Nipple Correction

Satisfactory after 3 weeks

Page 9: Inverted Nipple Correction

After 6 mths

Page 10: Inverted Nipple Correction

Good projection

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Periareolar scar mingling in surroundings

Page 12: Inverted Nipple Correction

THANKS ….QUESTIONS ?

Shailesh NisalRamya Nisal

Sparsh Clinics Nagpur Indiawww.sparshclinics.com