Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of nipple inversion, noting [unilateral/bilateral] involvement. Duration of condition is [congenital/acquired]. Patient denies associated nipple discharge, skin changes, or palpable masses. Patient reports [difficulty with breastfeeding/cosmetic dissatisfaction/recurrent localized irritation].
Clinical Examination Findings
Physical examination reveals [Grade I: easily evertible/Grade II: evertible with difficulty/Grade III: fixed] nipple inversion. No evidence of retro-areolar masses, skin dimpling, or peau d'orange. Nipple-areolar complex (NAC) is supple. No pathological discharge expressed upon compression.
Treatment Protocol
Discussed surgical correction options including [suture-based eversion/ductal release/Z-plasty/local tissue flap]. Risks, benefits, and alternatives explained, including potential for sensory changes, recurrence, and impact on future breastfeeding. Patient consents to [procedure name].