A Nipple-Areolar Complex Reconstruction in Implant-Based Breast Reconstruction Using a Local Flap and Full-Thickness Skin Graft.

摘要: Nipple–areolar complex reconstruction is the final step of reconstructive procedure in breast cancer patients. Nowadays, a combination local flap for nipple and skin grafting or tattooing areola deemed first choice. In this paper, we are combining techniques full-thickness graft from upper inner thigh simultaneous areola. From January, 2016 to December, 2017, 23 female patients with an absent unilateral nipple–areolar due post-oncological mastectomy immediate implant-based were subjects study. On out-patient clinic basis, percentage projection loss was calculated at intervals 3 , 6 12 months postoperatively. At visit, patient’s subjective satisfaction on reconstructed compared normal contralateral side evaluated using visual analogue scale. Over course time, mean 20.16 ± 12.88, 31.78 ± 11.63 34.69 ± 12.01% postoperatively, respectively. Patients’ overall grafted as follows; largest number (8 patients) had ‘good’ 12-months Out 21 patients, those who considered result be ‘poor’ ‘disappointing’ each accounted 1 The technique introduced study has proven safe efficacious alternative requiring small- medium-sized projection, especially when envelope too tight only. This journal requires that authors assign level evidence article. For full description these Evidence-Based Medicine ratings, please refer Table Contents online Instructions Authors www.springer.com/00266 .