Surgical Outcomes and Nipple Projection Using the Modified Skate Flap for Nipple-Areolar Reconstruction in a Series of 422 Implant Reconstructions

摘要: Numerous techniques have been used in an attempt to achieve long-term nipple projection following nipple-areolar reconstruction (NAR). A common setback, however, is the diminution of over time; this phenomenon particularly evident implant based breast reconstruction. The purpose report was thus evaluate surgical outcomes and with use "modified skate flap" technique exclusively postmastectomy reconstructions. retrospective review performed for period between 1993 2007. All consecutive patients 2-staged tissue expander/implant reconstructions followed by NAR using modified flap senior author (P.C.) were identified a prospectively maintained database. Only minimum 1-year follow-up included study. Patients history irradiation excluded from assessment. Clinical outcome measurements as well incidence complications procedure technique. Over 15-year study period, 475 underwent Of these, there total 292 requirement post (61% rate). number reconstructed areolar complexes evaluated series 422 (130 bilateral 162 unilateral NAR). Forty (28 12 NAR) who received radiation their breasts At median 44 months (range: 12-84 months), mean 2.5 mm 1-4 mm). Minor occurred 7.2% (n = 292). Skin graft donor site dehiscence most complication (3.1%) partial skin nontake areola (2.1%). This documents largest single setting can be safely implants acceptably low rates predictable results. Long-term modest must forewarned completing final stage