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One-Stage Breast Reconstruction Using the Inferior Dermal Flap, Implant, and Free Nipple Graft

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Nipple-Areolar Complex Reconstruction

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Abstract

The inferior dermal flap with implant and free nipple graft is a valuable technical option available to women with ptotic breasts requiring immediate breast reconstruction. This single-stage procedure uses autologous tissue for an inferolateral dermal sling that is sutured to the pectoralis major muscle, supporting an implant and shaping the breast. Using the ipsilateral nipple as a free nipple graft facilitates immediate color matching with the contralateral nipple and conveys a far more elegant cosmetic reconstruction in comparison with that resulting from delayed nipple reconstruction or areolar tattooing. This one-stage operation avoids both a prolonged operation and also the costs and potential morbidity of prosthetic mesh use. This approach offers a safe, reliable, and cosmetically acceptable outcome for women with larger, ptotic breasts.

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Authors and Affiliations

  1. Department of Plastic Surgery, St George’s Hospital, London, UK

    Ian C. C. King MA (Oxon), MBBS, M.R.C.S.Ed.

  2. University of Manchester, Manchester Academic Health Science Centre, Manchester, UK

    James R. Harvey M.B.B.S., Ph.D.

  3. Nightingale Centre, University Hospital of South of Manchester, Southmoor Road, Manchester, UK

    James R. Harvey M.B.B.S., Ph.D.

Authors
  1. Ian C. C. King MA (Oxon), MBBS, M.R.C.S.Ed.
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  2. James R. Harvey M.B.B.S., Ph.D.
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Corresponding author

Correspondence to Ian C. C. King MA (Oxon), MBBS, M.R.C.S.Ed. .

Editor information

Editors and Affiliations

  1. Private Practice, Tustin, California, USA

    Melvin A. Shiffman

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King, I.C.C., Harvey, J.R. (2018). One-Stage Breast Reconstruction Using the Inferior Dermal Flap, Implant, and Free Nipple Graft. In: Shiffman, M. (eds) Nipple-Areolar Complex Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-60925-6_53

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  • DOI: https://doi.org/10.1007/978-3-319-60925-6_53

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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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