A two nipple technique: Nipple areola reconstruction for the hypoplastic nipple areola complex

作者: J. Goodenough , D. Dewing , M. Veliky , O. Koshy

DOI: 10.1016/J.JPRA.2015.12.001

关键词: ScarsBreast reconstructionCosmesisSurgeryAreola reconstructionNipple areola complexAreolaMedicineMastopexyAnatomyImplant

摘要: Abstract We describe a novel approach to reconstruction of the superiorly placed hypoplastic nipple areola complex (NAC) with aim retaining sensation and avoiding scars on upper pole breast. used this for 38 year old lady right sided Poland sequence. She had previously (ruptured) subcutaneous breast implant subsequent DIEP reconstruction. The NAC remained placed. Nipple was then performed, along superior lipofilling left symmetrising mastopexy. A modified CV flap reconstruct using stored cartilage (from previous surgery). new sited close enough existing allow it be incorporated into areola, which reconstructed an graft from theory is that would disguised in appearance more like montgomery tubercle than NAC. patient retains neurovascularity hence within area, there no need any above Although, complicated by some necrosis post-operative tattooing improve cosmesis, we advocate use our technique minor adjustments.

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