A New Local Flap Nipple Reconstruction Technique Using Dermal Bridge and Preoperatively Designed Tattoo

Plastic and Reconstructive Surgery. Global Open
Takako Komiya, Yoshiko Iwahira

Abstract

Nipple-areolar reconstruction is the final step in breast reconstruction. Reconstruction using local flaps and tattooing is useful in cases of bilateral reconstruction, a small nipple-areolar complex (NAC) as the donor site, and avoiding disturbance of the normal side and other body parts. However, this method can cause projection loss and color fading of the nipple. Moreover, the breast mound is reconstructed with an implant. We performed nipple-areolar reconstruction of 90 nipples using clover-designed flaps oriented at 120 degrees and tattooing after breast silicone implantation in 64 women. The tattoo was designed before flap operation and stained darker. Following donor site closure, a dermal flap was made as a bridge for nipple support. The nipple space was separated by the dermal flap from the breast mound and was filled with subcutaneous tissue. The size of the reconstructed nipple projection was measured postoperatively and 1 year later. The projection maintenance rate was calculated. The heights of the nipple projection were 11.3 ± 1.8 mm (95% confidence interval [CI]: 10.9-11.7) just after the operation and 6.09 ± 2.4 mm (95% CI: 5.6-6.6) 1 year later. The actual range of nipple projection between these 2 heights was...Continue Reading

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Citations

Dec 18, 2018·The Breast Journal·Joon Seok LeeJung Dug Yang
Aug 2, 2017·Journal of Plastic Surgery and Hand Surgery·Yoshihiro SowaToshiaki Numajiri
Oct 24, 2018·Plastic and Reconstructive Surgery. Global Open·Daisuke FujisawaKoki Hasegawa
Mar 9, 2021·Aesthetic Plastic Surgery·Takako KomiyaHajime Matsumura

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