Congenital inverted breast actually refers to inverted nipple. The degree of inverted nipple is different and the condition will be different. The more serious one is that the nipple is completely sunken and cannot move out from the areola. This will cause great difficulties for women to breastfeed in the future. In addition, inverted nipple will affect the overall appearance of the breast, easily harbor dirt and cause inflammation, so it must be treated in time. Causes of congenital inverted breasts The occurrence of inverted nipple is generally caused by congenital development, shortening of mammary ducts, fibrosis and contracture of some tissues, and hypoplasia of nipple smooth muscle. Among them, mammary duct shortening and tissue fibrosis and contracture are the main causes of nipple inversion. Secondary nipple inversion (acquired nipple inversion) is caused by the nipple being pulled by pathological tissue in the breast or compressed by a bra or breast binder. It is often seen in diseases such as inflammation and tumors, which invade the ducts, ligaments, fascia of the breast and cause the invaded ducts, ligaments, and fascia to contract. Unreasonable breast binding or wearing too tight bras occurs in adolescence. Due to tight breasts and poor blood circulation, it causes breast hypoplasia and inverted nipples. Treatment methods 1. Manual traction Adolescence is an important period for breast development and also an important period for correcting inverted nipples. Regularly pulling the nipples can make them protrude, stretch and lengthen the mammary ducts, fiber cords and smooth muscles, and the nipples will naturally bulge outward gradually. But this requires a long time and gradual progress to achieve good results. 2. The working principle of suction therapy is similar to that of manual traction. Through the negative pressure suction device, the inverted nipple is pulled to achieve the purpose of lengthening the mammary ducts and fiber cords. 3. Surgical treatment (1) Stent method for correction of inverted nipple. So far, this method is the only surgical method that can preserve the breastfeeding function. The inverted nipple is fixed to an external stent with a steel wire. After 3 to 6 months of continuous traction, the purpose of lengthening the nipple and correcting the inverted nipple is achieved. Suitable for patients with mild, moderate and severe degrees of depression. This method does not require making an incision on the skin, does not damage the mammary ducts, can preserve the breastfeeding function, and will not affect the sensation of the nipple, and has a low recurrence rate. The disadvantage is that the treatment time is long and may cause inconvenience in life. (2) Incisional nipple correction surgery can be used for women who have given birth and do not plan to breastfeed in the future, or for patients with recurrent local inflammation and severe inverted nipple deformity caused by scar traction. During the operation, the mammary ducts are completely cut off, the inverted nipple is fully loosened, and a tissue flap is designed to fill the tissue defect at the root of the nipple to strengthen the support for the nipple. The inverted nipple correction surgery can be completed in one stage and the treatment time is short. However, the incision method requires the severance or partial severance of the mammary ducts, which will affect the postoperative breastfeeding function; if the scar deep on the nipple contracts, it will cause the recurrence of inverted nipple. |
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