Color Change After Paramedical Pigmentation of the Nipple–Areola Complex
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Reconstruction of the nipple–areola complex is the final process in breast reconstruction. Local flaps and paramedical pigmentation is one of the major procedures for this. However, fading after paramedical pigmentation leads to a color difference between the selected pigment and its color in the skin. The aim of this study is to make a proposition in color choice of paramedical pigmentation for nipple–areola complex.
Our research focused on investigating the color changes over time after unilateral nipple–areola complex reconstruction using paramedical pigmentation in 25 patients to propose suitable color selections. We measured the color by spectrometer and conducted comparisons using the hue, saturation, and value (HSV) color space and the color space defined by the Commission International de L’eclairage based on one channel for luminance (lightness) (L) and two color channels (a and b) (L*a*b*).
A comparison of the hue, value, and saturation of the reconstructed areola compared to the normal areolae was conducted using HSV color space; the value and saturation were satisfactory after 3 months and beyond, but the reconstructed areola tended to have stronger red hues. The color difference (ΔE00) calculated in L*a*b* color space showed slow fading after the scab was peeled off.
This result indicates that a color with less redness and more yellowness, particularly 4–5 degrees of yellowness on the color wheel, than the normal side is the most appropriate color selection for this technique.
Level of Evidence V
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KeywordsBreast reconstruction Nipple–areola reconstruction Paramedical pigmentation Permanent makeup Tattoo
We would like to thank Editage (www.editage.com) for English language editing and Publication Support.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards and approved by the ethical committee of the Jikei University School of Medicine (8218). Informed consent was obtained from all patients.
- 20.Little JW, Spear SL (1988) The finishing touches in nipple–areola reconstruction. Perspect Plast Surg 2:1–22Google Scholar
- 21.Xujia Q, Yanfei CH, Yinglin F (2016) Image enhancement algorithm based on Retinex of trilateral filter in HSV color space. J Chin Comput Syst 37:168–172Google Scholar
- 23.International Commission on Illumination (1978) Supplement No. 2 to CIE Publ. No. 15, Recommendations on uniform color spaces, color-difference equations, psychometric color terms. Bureau Central de la CIE, ParisGoogle Scholar
- 24.Japanese Industrial Standards (1993) JIS Z 8721:1993 Colour specification–specification according to their three attributes. Japanese Standards Association, TokyoGoogle Scholar