Convenient Nipple Suspension Method Using Aquaplast Thermoplastic (Optimold) Splint after Surgical Correction of Inverted Nipple

ABSTRACT

In spite of various surgical treatments to correct the inverted nipple, no one is free form its recurrence. It is well known that stable suspension of projected nipple is required after nipple reduction. To minimize the recurrence rate, authors designed a new suspension device using Aquaplast Thermoplastic(Optimold) which is heat-malleable. The retracted nipple was held up with 2 traction sutures using 4-0 nylon, and then the surgical correction was performed. The projected nipple was suspended by 2 traction sutures with 4-0 nylon. A sheet of Aquaplast Thermoplastic (Optimold) was tailored by 1.5x5cm. It was soaked in hot water for 5-10 seconds. In 30 seconds, it was molded by manual in " omega" shape after dry-up. This prepared splint was applied on the nipple and areolar. 2 ends of nylon threads were pull upward and other 2 ends downward from the splint. Then, they were tied on top of the splint. The suspension sutures maintained for 7 days. From January of 2003 to December of 2006, we corrected 12 inverted nipples in 9 patients. After operation, we applied these devices for suspension to all nipples and 11 of them were kept corrected for more than 6 months. The authors consider this suspension method is simple, quick and effective. And the splint is very comfortable to patient because it is small, light and fits in nipple. In addition, it is very convenient to check the circulation of the operated nipple by sight.