Biography
Biography: Angelo Rebelo
Abstract
Inverted nipple is not a rare situation that causes dissatisfaction and discomfort to many women in any age. In the majority of the situations, it is consequent to congenital conditions. Also, it can occur after breast surgeries. There are many techniques to correct this situation and many of them with a significant percentage of recidives. The author learned from Sakai, a Japanese Plastic Surgeon, one technique that was found very efficient, with good results and very low or no recidives. The main indication for Sakai technique are inverted nipples and the cause doesn’t matter, occurring on one or both sides in varying degrees and also dissatisfaction with previous surgery. Age is not important to decide to do the surgery. The surgery is performed upon a patient under local anesthesia with sedation as an out-patient. The operating time varies between 30 to 60 minutes. The technique is based in two small triangle flaps. The retention sutures (Nylon 4/0) are placed deeper to remake the nipple shape and closed superficial with Vicryl Rapid 5/0. Small molding dressing was done. The patients are advised that they cannot breast feeding anymore. Antibiotic per os during one week was prescribed. The percentage of recidives is very low or zero with this technique.