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Free Nipple Graft Technique for Correcting a Malpositioned Nipple After Breast Procedures

  • Prakasit Chirappapha
  • Mario Rietjens
Chapter

Abstract

Secondary correction due to the malpositioned nipple-areolar complex (NAC) has been a major concern after certain breast reconstructive procedures. It is frequently requested by patients complaining about asymmetric areolas impairing the whole reconstructive procedure and asking for improved cosmetic outcomes. Several methods have been described to treat this problem. We describe our correction with free NAC graft technique.

References

  1. 1.
    Mohmand H, Naasan A. Double U-plasty for correction of geometric malposition of the nipple–areola complex. Plast Reconstr Surg. 2002;109:2019–22.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    van Straalen WR, van Trier AJM, Groenevelt F. Correction of the post-burn malpositioned nipple–areola complex by transposition of two subcutaneous pedicled flaps. Br J Plast Surg. 2000;53:406–9.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Millard DR Jr, Mullin WR, Lesavoy MA. Secondary correction of the too-high areola and nipple after mammaplasty. Plast Reconstr Surg. 1976;58:568–72.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Colwell AS, May JW Jr, Slavin SA. Lowering the postoperative high-riding nipple. Plast Reconstr Surg. 2007;120:596–9.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Mess SA, Gradinger GP, Spear SL. Breast reduction with the free-nipple technique. In: Spear AL, editor. Surgery of the breast: principles and art. 2nd ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2006. p. 1172–88.Google Scholar
  6. 6.
    Gorgu M, Ayhan M, Aytug Z, Aksungur E, Demirdover C. Maximizing breast projection with combined free-nipple graft reduction mammoplasty and back-folded dermaglandular inferior pedicle. Breast J. 2007;13:226–32.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Güven E, Aydin H, Başaran K, Aydin U, Kuvat SV. Reduction mammaplasty using bipedicled dermoglandular flaps and free-nipple transplantation. Aesthet Plast Surg. 2010;34:738–44.CrossRefGoogle Scholar
  8. 8.
    Fırat C, Gurlek A, Erbatur S, Aytekin AH. An autoprosthesis technique for better breast projection in free nipple graft reduction mammaplasty. Aesthet Plast Surg. 2012;36(6):1340.CrossRefGoogle Scholar
  9. 9.
    Thorek M. Possibilities in the reconstruction of the human form 1922. Aesthet Plast Surg. 1989;13:55–8.CrossRefGoogle Scholar
  10. 10.
    Spear SL, Hoffman S. Relocation of the displaced nipple–areola by reciprocal skin grafts. Plast Reconstr Surg. 1998;101:1355–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Frenkiel BA, Pacifico MD, Ritz M, Southwick G. A solution to the high-riding nipple-areola complex. Aesthet Plast Surg. 2010;34:525–7.CrossRefGoogle Scholar
  12. 12.
    Emekli U, Güven E, Ozden BC, Kesim SN. A practical dressing method after nipple areola reconstruction. Eur J Plast Surg. 2004;27:99–100.CrossRefGoogle Scholar
  13. 13.
    Coleman SR. Long-term survival of fat transplants: controlled demonstrations. Aesthet Plast Surg. 1995;19(5):421.CrossRefGoogle Scholar
  14. 14.
    Misirlioglu A, Akoz T. Familial severe gigantomastia and reduction with the free-nipple-graft vertical mammoplasty technique: report of two cases. Aesthet Plast Surg. 2005;29:205–9.CrossRefGoogle Scholar
  15. 15.
    Ali S, Jaffe W, Howcroft A. A simple method of resiting the malpositioned nipple. Br J Plast Surg. 1997;50:470–1.CrossRefPubMedGoogle Scholar
  16. 16.
    Rietjens M, De Lorenzi F, Andrea M, Chirappapha P, Martella S, Barbieri B, Gottardi A, Giuseppe L, Hamza A, Petit JY, Lohsiriwat V. Free nipple graft technique to correct nipple and areola malposition after breast procedures. Plast Reconstr Surg Glob Open. 2013;1(8):e69.CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Takayanagi S. Transposition of the malpositioned nipple-areola complex in breast reconstruction with implants. Aesthet Plast Surg. 2010;34:52–8.CrossRefGoogle Scholar
  18. 18.
    Taneda H, Sakai S. Transposition technique for correction of a malpositioned nipple-areola complex after reconstruction following a nipple-sparing mastectomy: a case report. Ann Plast Surg. 2011;67:579–82.CrossRefPubMedGoogle Scholar
  19. 19.
    Staley H, Serra MP. A technique to correct a malpositioned nipple within the confines of a well-placed areola. Ann Plast Surg. 2014;72:279–80.CrossRefPubMedGoogle Scholar
  20. 20.
    Spear SL, Albino FP, Al-Attar A. Repairing the high-riding nipple with reciprocal transposition flaps. Plast Reconstr Surg. 2013;131:687–9.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Surgery, Faculty of Medicine Ramathibodi HospitalMahidol UniversityBangkokThailand
  2. 2.Department of Plastic and Reconstructive SurgeryEuropean Institute of OncologyMilanItaly

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