NIPPLE AREOLAR RECONSTRUCTION

TECHNIQUES TO ACHIEVE A GOOD RESULT

Authors

  • Priscilla Sodré Pontifícia Universidade Católica do Rio de Janeiro
  • Juan Sebastian Sanches Tobar Pontifícia Universidade Católica do Rio de Janeiro
  • Roberto Vieira Pontifícia Universidade Católica do Rio de Janeiro
  • Carlos Ricardo Chagas Pontifícia Universidade Católica do Rio de Janeiro

Keywords:

Nipple, mammaplasty, allografts, tattooing

Abstract

The nipple-areolar complex (NAC) reconstruction is the final touch in the reconstructive breast surgery, and it is very important for the patient’s psychological health and satisfaction. There are many described techniques, but the main issue is to maintain the NAC projection over the time. The local graft reconstruction together with tattooing are the most popular techniques. However, it is important to personalize the method taking into account the patient’s characteristics and the breast mound reconstruction to achieve good results. This article describes the reconstruction planning method, nipple and areolar reconstruction techniques using nipple sharing, local and autologous grafts and tattooing.

Downloads

Download data is not yet available.

Author Biography

Priscilla Sodré, Pontifícia Universidade Católica do Rio de Janeiro

Department of Mastology, Postgraduate Medical School, Pontifícia Universidade Católica do Rio de Janeiro

References

Nimboriboonporn A, Chuthapisith S. Nipple-Areola Complex Reconstruction. Gland Surg. 2014;3(1):35-42. https://doi.org/10.3978/j.issn.2227-684X.2014.02.06

Adams WM. Free transplantation of the nipples and areola. Surgery. 1944;15:186.

Klatsky SA, Manson PN. Toe pulp free grafts in nipple reconstruction. Plast Reconstr Surg. 1981;68:245-8.

Millard DR. Jr. Nipple and areola reconstruction by split-skin graft from the normal side. Plast Reconstr Surg. 1972;50:350-3.

Hartrampf CR Jr, Culbertson JH. A dermal-fat flap for nipple reconstruction. Plast Reconstr Surg. 1984;73:982-6.

Losken A, Mackay GJ, Bostwick J. Nipple reconstruction using the C-V flap technique: along term evaluation. Plast Reconstr Surg. 2001;108:361-9.

Tierney BP, Hodde JP, Changkuon DI. Biologic Collagen Cylinder with Skate Flap Technique for Nipple Reconstruction. Plast Surg Int. 2014;2014:ID 194087. http://dx.doi.org/10.1155/2014/194087

Nahabedian MY. Nipple reconstruction. Clin Plast Surg. 2007;34:131-7. https://doi.org/10.1016/j.cps.2006.11.009

Jones GE. Bostwick’s Plastic & Reconstructive Breast Surgery. 3ª ed. St. Louis, Missouri: Quality Medical Publishing; 2010.

Sanuki J, Fukuma E, Uchida Y. Morphologic study of nipple-areola complex in 600 breasts. Aesthetic Plast Surg. 2009;33:295-7. https://doi.org/10.1007/s00266-008-9194-y

Hauben DJ, Adler N, Silfen R, Regev D. Breast-areola-nipple proportion. Ann Plast Surg. 2003;50:510-3. https://doi.org/10.1097/01.SAP.0000044145.34573.F0

Zenn MR, Garofalo JA. Unilateral nipple reconstruction with nipple sharing: time for a second look. Plast Reconstr Surg. 2009 Jun;123(6):1648-53. https://doi.org/10.1097/PRS.0b013e3181a3f2f9

Adams WM. Free transplantation of the nipples and areola. Surgery. 1944;15:186-95.

Farhadi J, Maksvytyte GK, Schaefer DJ, Pierer G, Scheufler O. Reconstruction of the nipple–areola complex: an update. J Plast Reconstr Aesthet Surg. 2006;59:40-53.

Little JW. Nipple-areolar reconstruction. In: Spear SL, editor. Surgery of the Breast: Principles and Art. Philadelphia: Lippincott-Raven Publisher; 1998.

Little III J. Nipple-areola reconstruction. Clin Plast Surg. 1984;11:351-64.

Vandeweyer E. Simultaneous nipple and areola reconstruction: a review of 50 cases. Acta Chir Belg. 2003;103:593-5.

Børsen-Koch M, Bille C, Thomsen JB. Promising results after single-stage reconstruction of the nipple and areola complex. Dan Med J. 2013;60(10):A4674.

Few JW, Marcus JR, Casas LA, Aitken ME, Redding J. Longterm predictable nipple projection following reconstruction. Plast Reconstr Surg. 1999 Oct;104(5):1321-4.

Van Laeken N, Genoway K. Nipple reconstruction using a two-step purse-string suture technique. Can J Plast Surg. 2011;19(2):56-9.

Caterson SA, Singh M, Talbot SG, Eriksson E. Reconstruction of Areolar Projection Using a Purse-String Suture Technique. Plast Reconstr Surg. 2015 [cited on Apr 26, 2016]. Available at: http://journals.lww.com/prsgo/Fulltext/2015/07000/Reconstruction_of_Areolar_Projection_Using_a.19.aspx

Garg G, Thami GP. Micropigmentation: tattooing for medical purposes. Dermatol Surg. 2005;31:928-31; discussion 931.

Halvorson EG, Cormican M, West ME, Myers V. Threedimensional nipple-areola tattooing: a new technique with superior results Plast Reconstr Surg. 2014 May;133(5):1073-5. https://doi.org/10.1097/PRS.0000000000000144

Wong RK, Banducci DR, Feldman S, Kahler SH, Manders EK. Pre-reconstruction tattooing eliminates the need for skin grafting in nipple areolar reconstruction. Plast Reconstr Surg. 1993;92(3):547-9.

Spear SL, Arias J. Long-Term Experience with Nipple-Areola Tattooing. Ann Plast Surg. 1995 Sep;35(3).

Hyman J, Newman M, Gayle LB. Composite syringe dressing after nipple-areola reconstruction. Plast Reconstr Surg. 2005;116:340-1.

Downloads

Published

2018-04-02

How to Cite

Sodré, P., Tobar, J. S. S., Vieira, R., & Chagas, C. R. (2018). NIPPLE AREOLAR RECONSTRUCTION: TECHNIQUES TO ACHIEVE A GOOD RESULT. Mastology, 28(2), 119–124. Retrieved from https://revistamastology.emnuvens.com.br/revista/article/view/553

Issue

Section

Review Articles