Abstract: Objective To explore the technique of double intersecting dermal flap in the treatment of severe inverted nipple.Methods Thirty-nine severe inverted nipples were included in the study.The double intersecting dermal flap was designed in four directions.The flap was pulled out through the tunnel under the nipple to the opposite side and sutured at the areolar dermis of the base of the opposite flap.The cross-fixation was accomplished to support the nipple tissue.Results All nipples manifested satisfactory aesthetic projection with no recurrence.No complications were observed such as: infection,hematoma,permanent numbness and necrosis.Conclusion In the treatment of Grade Ⅲ inverted nipple,the technique of the nipple suspension using the double intersecting dermal flap could provide a strong suspension system with areolar fulcrums in less recurrence rate.

Key words: Inverted nipple, Dermal flap, Double intersecting