Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Bariatric Surgery
  •  Neurological Surgery
  •  Obstetrics Surgery
  •  Minimally Invasive Surgery
  •  Gynecological Surgery
  •  Plastic Surgery
  •  Ophthalmic Surgery
  •  Transplant Surgery


Citation: Clin Surg. 2019;4(1):2590.Research Article | Open Access

Correction of Inverted Breast Nipple by Using Serdev Suture

Munir Alam

Department of Plastic Surgery, Faisal Hospital, Faisalabad, Pakistan

*Correspondance to: Munir Alam 

 PDF  Full Text DOI: 10.25107/2474-1647.2590


Background: Inverted breast nipples are classified into 3 grades according to severity of inversion. There are various procedures described for correction of all the grades. For grade II and III correction, the techniques like multiple deepithelialized dermal flaps have high complications rate and results are inconsistent. The diversity of procedures supports the lack of a consistently reliable method. I present a minimal invasive parenchymal release under local anesthetic and a single purse string suture using “Serdev Suture” methodology with semi-elastic antimicrobial absorbable polycaproamide thread “polycorn” which is slowly absorbable (1.5 to 2 years) that guaranties stable results and avoid the collapse of the nipple. Purpose of Study: To evaluate the effectiveness of Serdev suture methodology for inverted nipple correction. Setting: Dundrum Medical Cosmetic Clinic, Dublin 16, Ireland. Faisal Hospital, Peoples Colony, Faisalabad, Pakistan. Material and Methods: Two years from March 2009 to Feb 2011 & one year from January 2016 to December 2016, totaling 3 years study period. Total number of patients were 22 in this study of 3 years duration. Thirteen (59%) patients had one side and 9 (41%) patients had bilateral breast nipple correction. Type of Study: Prospective cross sectional case analytic study. Results: Thirteen patients had one side and 9 patients had bilateral breast nipple correction. Twenty one patients were female and one male. There were no late complications noted such as nipple ischemia, infection or re inversion etc. The satisfaction level achieved with this innovative technique for patient and surgeon by using visual analogue scoring system was in the range of 70% to 95%. Conclusion: Therefore, I recommend this procedure for grade II and grade III inverted breast nipple correction because of its simplicity, reliable, quick, leave no visible scars and easy to learn.


Breast; Nipple; Inverted; Serdev Suture

Cite the article

Alam M. Correction of Inverted Breast Nipple by Using Serdev Suture. Clin Surg. 2019; 4: 2590..

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