Do any doctors in the UK use NINE (No Incision Nipple Eversion) method invented by AONE clinic in Korea?

Question

If so what types of inverted nipples can this technique correct? I would really appreciate the reply.. Many thanks

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your question. The NINE method of nipple inversion is similar to the current technique of minimally invasive nipple eversion surgery carried out by many surgeons.The procedure is carried out under local anaesthetic in both cases whether it is a minimally invasive or NINE technique. The technique itself is not difficult but it might not be the technique for your nipples. There are articles stating that the ducts may or may not require dissection, but in this series of patients that was assessed, the greatly inverted nipples that did not have their ducts addressed had a greateer level of recurrence of the inversion.I hope this is helpful for youBW

Rohit Seth, MD, MRCS(Ed), PhD · Answer

Thank you for your question. 
The NINE method of nipple 
inversion is really just an extension of the current technique that most
 surgeons use which involves a stab incision in 4 points around the 
nipples. The advantage that the authors of the NINE method state is no 
scar other than that left with the needle. They also show that the 
suture dissolves on its own. The suture they use is a dissolvable suture
 that does not need removing.
The technique itself is not 
difficult to carry out but I think it misses an important part of the 
nipple eversion which is the ducts that are pulling the nipple in. The 
authors of this technique show their very good results but all of these 
are at 1 month. Most nipples will still be quite swollen during this 
time and really you would get a better idea at 3- 6 months as to 
recurrence. The scarring that builds up underneath the nipple may be 
enough to hold the nipple up but if there is increased eversion, then 
this will probably pull in over time. 
In terms of the technique 
of nipple eversion, I use a similar technique but make 4 stab incisions 
around the base of the nipple. This allows two things to occur (1) the 
ducts can be released from under the nipple (2) the stitch that is 
placed will have the knot buried and not left on the outside (which is 
the case with the NINE technique.
In all the nipple eversions that
 I have carried out, the scarring is not obvious and is quite discrete 
as it is at the base of the nipple. The results tend to last longer with
 addressing the ducts. I like the idea of the NINE technique but I have not seen any long term results with this other than the month after surgery, although the authors do claim no recurrences. There are published articles saying there may not be a difference between addressing the ducts or not but in these articles, it did also depend on the extent of eversion. Therefore I think it really is a case of having the nipples examined and addressing your concerns during the consultation. As far as the NINE procedure goes, this is not a difficult technique to carry out but might not be the best option for all patients.
The procedure is carried out under local anaesthetic in both cases whether it is a minimally invasive or NINE technique. 
I hope this is helpful for you
BWRohit Seth
Plastic, reconstructive, aesthetic and hair transplant surgery.

Jonathan J. Staiano, FRCS (Plast) · Answer

Inverted nipple correction does not usually leave any visible scars if you look at most before and after photographs.It is usually necessary to divide the milk ducts in order to get a long-term sustainable result and this means that you need to go through the skin somehow.  A needle will leave a small mark and the stab incision that is used for the traditional technique will not be much more.The beauty of the traditional technique is that the stab incision is placed at the base of the nipple and we usually put in in the 'blind side' of the nipple so that when it is inverted it is on the other side of the mountain.I think you will be hard pressed to see the scar in most inverted nipple correction operations and so this technique is really trying to solve a problem that doesn't really exist.We make a small stab incision here at The Staiano Clinic, so as ever, if you are looking for a particular technique, try to find a doctor who has experience in it and look at some before and after photos and patient testimonials and make sure you do your research.  Also, make sure you ask what happens if the nipple inverts again after surgery (ie do you have to pay again).Good luck.

Do any doctors in the UK use NINE (No Incision Nipple Eversion) method invented by AONE clinic in Korea?

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Do any doctors in the UK use NINE (No Incision Nipple Eversion) method invented by AONE clinic in Korea?

Answers (3)

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Everything you need to know about Inverted Nipple Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.