Nipple reconstruction: technical aspects and evolution in 14 patients

Plastic and Reconstructive Surgery
Jaques LebeauBernard Raphael

Abstract

During breast reconstruction after mastectomy, the long-term deterioration of the projection of neonipples led the authors to modify Thomas's technique in its design and use. The results were evaluated after at least 10 months, in 14 patients, by comparative measurement of diameters and projection of the neonipple and contralateral nipple. In two cases, the authors had a 3-mm loss of height; in six cases, the authors had a variation of 1 mm compared with the referent nipple; and the heights appeared identical in the six other cases. The height variation was thus lower or equal to 1 mm compared with the contralateral nipple in 80 percent of cases. There was no or little diameter variation of approximately 1 mm in 12 cases (85.7 percent). This technique allows rebuilding of a nipple that remains identical to the contralateral nipple over the long run.

References

May 1, 1989·Plastic and Reconstructive Surgery·J WeissR Shafir
May 1, 1988·Plastic and Reconstructive Surgery·E D CroninA Ruiz-Razura
Apr 1, 1996·Plastic and Reconstructive Surgery·S V ThomasR Pool
May 1, 1997·Plastic and Reconstructive Surgery·S S KrollM A Schusterman
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Aug 13, 2002·Plastic and Reconstructive Surgery·Kenneth C ShestakJames Kim
Jul 16, 2003·British Journal of Plastic Surgery·C RubinoA Posadinu
Sep 16, 2003·Plastic and Reconstructive Surgery·Robert W Bernard, Samuel J Beran

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Citations

Dec 12, 2012·Annales de chirurgie plastique et esthétique·A GrosdidierG Bettega
Dec 1, 2010·The Breast : Official Journal of the European Society of Mastology·Jerzy JankauAleksandra Ankiewicz
Aug 5, 2008·The Cancer Journal·Nicholas VendemiaJoseph J Disa

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