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Purpose: Numerous conservative and surgical methods have been reported for correction of inverted nipples. We herein report a technique using Z-plasty for correction of inverted nipples. This technique is sufficient for release of fibrotic tissue bands and maintenance of the nipple’s proper shape and function. Methods: A total of 22 patients with 28 inverted nipples underwent correction with trans-nipple Z-plasty from 2010 to 2013. The mean age was 46.7± 11.2 years, and six patients had bilateral inverted nipples. A midline incision and 5 mm double Z-incisions were made on the nipple–areola complex for trans-nipple Z-plasty. The contracted tissues were separated from the lactiferous ducts, and the underlying tight fibrous tissue bands were removed. The split nipple and areola were then closed with absorbable monofilament sutures using the Z-plasty technique. Results: One case of partial nipple necrosis occurred and improved with conservative treatment. No complications or recurrence occurred during a mean follow-up period of 34.0± 7.7 months. Conclusion: Trans-nipple Z-plasty is a simple and useful surgical procedure for severely inverted nipples.

Correction of Inverted Nipple Using Trans-Nipple Z-Plasty