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Nipple-Areolar Complex Reconstruction pp 469–476Cite as

Nipple-Areola Reconstruction Using Local Flaps

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Abstract

Nipple-areola reconstruction is an important and transformative element in breast reconstruction. Despite numerous techniques to create and maintain a realistic nipple-areola reconstruction, long-term durability of nipple mound projection can be difficult. The method of spiral wrap flap for nipple reconstruction provides excellent early nipple size and late nipple persistence based on sound principles of soft tissue healing. Confounding factors such as preoperative radiation and thin tissue-expanded skin envelopes provide additional challenges that can be improved with a staged nipple-delay approach. Nevertheless, one must be prepared to manage immediate nipple necrosis and delayed nipple flattening with secondary procedures.

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Author information

Authors and Affiliations

  1. Aesthetic Plastic Surgery, PC Great Neck Office, 833 Northern Boulevard, Suite 160, Great Neck, NY, 11021, USA

    Randall S. Feingold M.D.

  2. Department of Surgery, Hofstra Northwell School of Medicine, Hempstead, NY, USA

    Randall S. Feingold M.D.

Authors
  1. Randall S. Feingold M.D.
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Correspondence to Randall S. Feingold M.D. .

Editor information

Editors and Affiliations

  1. Private Practice, Tustin, California, USA

    Melvin A. Shiffman

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© 2018 Springer International Publishing AG

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Feingold, R.S. (2018). Nipple-Areola Reconstruction Using Local Flaps. In: Shiffman, M. (eds) Nipple-Areolar Complex Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-60925-6_59

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  • DOI: https://doi.org/10.1007/978-3-319-60925-6_59

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60924-9

  • Online ISBN: 978-3-319-60925-6

  • eBook Packages: MedicineMedicine (R0)

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