Inverted nipple.

The author presents the anatomic, embryologic, and etiologic aspects and treatment of the inverted nipple.The Pitanguy technique for correction of this deformity consists of direct cutting of the fibromuscular tilts that hold the nipple in an inverted position, by means of a transareolomamillar incision.Associated mammary hypoplasia is corrected by extending the transareolomamillar incision to the muscular level and constructing a spacious supraaponeurotic pocket where the silicone prosthesis is placed. Details of the surgical technique are described.