Aesthetic Plastic Surgery

, Volume 41, Issue 4, pp 793–799 | Cite as

Immediate Nipple Reconstruction During Implant-Based Breast Reconstruction

  • Ki Yong Hong
  • Young-Eun Kim
  • Kyung Won Minn
  • Ung Sik JinEmail author
Original Article Breast Surgery



Nipple reconstruction is usually performed as a separate procedure, several months after the primary breast reconstruction. This study compared the outcomes of immediate and delayed nipple reconstructions during implant-based breast reconstructions.


A retrospective review was conducted of patients who underwent nipple reconstruction, after implant-based breast reconstruction, between September 2014 and August 2015. The nipple was simultaneously reconstructed following tissue expander removal and implant placement. The reconstructed nipple was evaluated immediately after surgery and 1 year later using objective measurements of nipple dimension and position, and a subjective assessment.


Sixty-one patients were included in the study, undergoing either immediate (n = 37) or delayed (n = 24) nipple reconstructions. Patients undergoing immediate nipple reconstructions had a significantly lower chance of radiotherapy (p = 0.018) and demonstrated a shorter period of tissue expansion (p = 0.011) than those undergoing delayed reconstructions. In the objective evaluations, nipple projections and symmetries between the groups were similar at the 1-year postoperative assessment. In the subjective reviews, esthetic breast mound outcomes were higher among those undergoing immediate reconstructions than among those undergoing delayed reconstructions; similar nipple symmetry and shape outcomes were obtained for both groups.


In cases of implant-based breast reconstruction, immediate nipple reconstruction concurrent with breast reconstruction provides satisfactory esthetic results compared with conventional delayed nipple reconstruction, in properly selected patients.

Level of evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors


Nipple reconstruction Breast reconstruction Implant 



The authors have no financial or institutional interest in any of the drugs, materials, or devices described in this article.


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Copyright information

© Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2017

Authors and Affiliations

  • Ki Yong Hong
    • 1
  • Young-Eun Kim
    • 1
  • Kyung Won Minn
    • 1
  • Ung Sik Jin
    • 1
    Email author
  1. 1.Department of Plastic and Reconstructive SurgerySeoul National University College of MedicineSeoulKorea

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