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About Triangular Areolar dermal Flaps

What is Triangular Areolar dermal Flaps?

Triangular Areolar dermal Flaps

Correct nipple deformity with Triangular areolar dermal Flaps

What is Triangular Areolar dermal Flaps?

Inverted nipple is a malformation in which nipples project inward in place of outward. This condition may occur in both men and women for various reasons. Inverted nipple is a source of emotional stress and health concerns in terms of body image and sexuality. Inverted nipples may be caused due to congenital reasons or are acquired due to ductal mastitis, carcinoma and breast surgery.

Inverted nipples can also be caused due to infections, pregnancy and other diseases. Such condition presents many functional, aesthetic and psychological problems. Inverted nipples cause repeated irritation and inflammation and may also interfere with nursing after child birth in women.

Many methods have been proposed by cosmetic surgeons for correcting this deformity. Most techniques use methods to tighten the base of nipple or use areolar dermal flaps to support the nipples. The new triangular areolar dermal flaps method has proved to be successful in eliminating the functional problems of people associated with their inverted nipples.

The method uses sufficient tissue of the patient to fill the dead space in order to give better projection and support to the nipples. The triangular areolar dermal flaps method furnishes bulk skin to drive up the nipple. The triangular flap does not involve areolar skin; in fact, dermal flaps are elevated under the areolar skin which overcomes visible scarring problems.

In the surgery, two triangle patterns are marked over nipple area. This triangular pattern is used to create the areolar dermal flaps after de-epithelialisation of the area. Each triangular areolar dermal flaps is nearly 1 mm shorter than nipple diameter. Then, cosmetic surgeons pull out the flap for removing the fibrous tissue. Both the areolar dermal flaps are pulled out with a suture through the slit where they cross. Surgeons conduct a sophisticated pattern of stitches to attach the structure with lower dermis of the nipple.

The triangular areolar dermal flaps support the nipple base as they fill the dead space beneath the nipples. This surgical method is effective and simple for correcting inverted nipple problems.

 

 

Who is the best candidate?

Patients, who have inverted nipples due to congenital or acquired reasons, can opt for this cosmetic surgery. Most patients that undergo post-mastectomy reconstruction are ideal candidates for nipple reconstruction. Women with thin, insufficient or damaged breast skin should not undergo nipple reconstruction method. This method is not suitable for those patients who are candidates for mastopexy.

Side effects:

The first possibility is that the flap may not survive in the nipple area. The surgery may also cause blood clots, skin discoloration, changes in skin sensation, irregular pigmentation, anesthesia risks and persistent edema. However, you can consult a cosmetic surgeon, who will provide you information related to potential risks, side effects and results of this surgery.

What is the Cost?

This reconstructive cosmetic surgery is cheap as compared to other surgeries. Costs associated with correction of inverted nipples range from 1800–4000 AUD.

Possible Alternatives: