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Transposition of the Malpositioned Nipple-Areola Complex in Breast Reconstruction with Implants

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Abstract

Background

The goal of breast reconstruction after breast cancer is to obtain symmetrical breasts, including the nipple-areola complex. However, in some cases the nipple-areola complex may not be symmetrical even though a symmetrical breast shape has been created. In such cases the nipple-areola complex has been transpositioned, leaving a scar to close the wound or skin graft in the original position.

Methods

To treat this problem, skin surrounding the areola is removed and two pedicles are created to bear the nipple-areola complex. The nipple-areola complex is then moved to the proposed position and the surrounding circular edge of the skin is closed using a purse-string suture.

Results

The author performed this technique in three nipple-areolae of two patients. All the nipple-areolae were transposed to the proposed position to create symmetrical breasts without any complications.

Conclusion

This technique can be used when the malpositioned nipple-areola complex is not too far from the proposed position. The nipple-areola complex can be moved without leaving any scar at the original position of the complex.

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Authors and Affiliations

  1. Mega Clinic, 1-18-5 Higashinakajima, Higashiyodogawa-ku, Osaka, 533-0033, Japan

    S. Takayanagi

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  1. S. Takayanagi
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Correspondence to S. Takayanagi.

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Takayanagi, S. Transposition of the Malpositioned Nipple-Areola Complex in Breast Reconstruction with Implants. Aesth Plast Surg 34, 52–58 (2010). https://doi.org/10.1007/s00266-009-9431-z

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  • DOI: https://doi.org/10.1007/s00266-009-9431-z

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