Patient's question:
I have severe nipple inversion, which is what is known as grade 3 nipple inversion online. How should I treat it?Onset and duration of this illness: From birth to now
Previous diagnoses and treatment history and effectiveness: None
Doctor's answer:
Nipple retraction Hello, nipple retraction can be classified into two types: 1. Primary nipple retraction: This is due to the underdevelopment of smooth muscle in the nipple and areola, and the lack of supporting tissue under the nipple. 2. Secondary nipple retraction: This is often caused by trauma, surgery, breast tumors, or fibrosis after mastitis, which leads to the pulling of the nipple by pathological tissues within the breast. Since nipple retraction affects breastfeeding and makes it difficult to clean the area, it can easily accumulate dirt and lead to secondary infection, causing chronic inflammation and potentially increasing the risk of cancer. Congenital nipple retraction can be treated early through negative pressure suction to pull the nipple. If this is ineffective, surgical correction can be performed. Clinically, in addition to treating the underlying cause, surgical treatment can also be considered. Surgical treatment involves releasing the fibrous bundles causing the nipple retraction and, if necessary, cutting some or most of the shortened breast ducts. Tissue grafting is used to fill the empty nipple. A narrow ring is created at the base of the nipple to prevent the grafted tissue from herniating out. If needed, flap grafting can be performed to enlarge the nipple or create a nipple base. After surgery, a certain period of nipple traction is performed to prevent recurrence of nipple retraction. The plastic surgery fee is 3800 to 8800 yuan.