Abstract
Achieving a good shape of the breast is not sufficient to complete a reconstruction. The presence and correct positioning of a nipple areola complex (NAC) is important for a good esthetic result. This is demonstrated by the unsatisfactory result in cases of NAC malposition. Two cases are presented in which revision was performed by transferring the NAC as a composite graft. This approach achieved improvement in the esthetic result and the patient satisfaction.
Level of Evidence: Level V, therapeutic study.
References
Westreich M (1997) Anthropomorphic breast measurement: protocol and results in 50 women with aesthetically perfect breasts and clinical application. Plast Reconstr Surg 100(2):468–479
Youn ES (2006) Importance of the new position of the nipple-areola complex in breast augmentation surgery. Plast Reconstr Surg 118(7 Suppl):18S–31S. doi:10.1097/01.prs.0000246235.00439.3d, discussion 32S-34S
Kanhai RC, Hage JJ, Asscheman H, Mulder JW (1999) Augmentation mammaplasty in male-to-female transsexuals. Plast Reconstr Surg 104(2):542–549, discussion 550–541
Brown MH, Semple JL, Neligan PC (1995) Variables affecting symmetry of the nipple-areola complex. Plast Reconstr Surg 96(4):846–851
Millard DR Jr, Mullin WR, Lesavoy MA (1976) Secondary correction of the too-high areola and nipple after a mammaplasty. Plast Reconstr Surg 58(5):568–572
van Straalen WR, van Trier AJ, Groenevelt F (2000) Correction of the post-burn malpositioned nipple-areola complex by transposition of two subcutaneous pedicled flaps. Br J Plast Surg 53(5):406–409. doi:10.1054/bjps.2000.3321
Taneda H, Sakai S (2011) Transposition technique for correction of a malpositioned nipple-areola complex after reconstruction following a nipple-sparing mastectomy: a case report. Ann Plast Surg 67(6):579–582. doi:10.1097/SAP.0b013e3181ff76ca
Frenkiel BA, Pacifico MD, Ritz M, Southwick G (2010) A solution to the high-riding nipple-areola complex. Aesthetic Plast Surg 34(4):525–527. doi:10.1007/s00266-009-9421-1
Mohmand H, Naasan A (2002) Double U-plasty for correction of geometric malposition of the nipple-areola complex. Plast Reconstr Surg 109(6):2019–2022
Ali S, Jaffe W, Howcroft A (1997) A simple method of resiting the malpositioned nipple. Br J Plast Surg 50(6):470
Raffel B (1991) Technique for correction of areola misplacement with no new scars. Plast Reconstr Surg 88(5):895–897
Colwell AS, Gadd M, Smith BL, Austen WG Jr (2010) An inferolateral approach to nipple-sparing mastectomy: optimizing mastectomy and reconstruction. Ann Plast Surg 65(2):140–143. doi:10.1097/SAP.0b013e3181c1fe77
Kon M, Sagi A (1985) A simple aid for determination of nipple-areola position. Ann Plast Surg 15(2):180–181
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Lapid, O. Relocating the nipple areola complex as a composite graft. Eur J Plast Surg 36, 387–390 (2013). https://doi.org/10.1007/s00238-013-0818-3
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DOI: https://doi.org/10.1007/s00238-013-0818-3