Reconstruction of the Nipple-Areolar Complex: An Algorithm for Decision-Making

  • Asmat H. Din
  • Jian FarhadiEmail author


Nipple-areolar complex (NAC) reconstruction has evolved with changes in breast reconstruction over recent decades. Although numerous techniques, and subsequent refinements, have been described, a relative paucity of high-quality data-driven comparisons can hinder surgical decision-making. NAC reconstruction must be tailored to the patient’s specific needs, offering a long-lasting result whilst maintaining a very low level of risk to their underlying reconstruction. We present an algorithm to aid the clinician in choosing which type of reconstruction may be best suited to which patient, as well as offering tips as to how best to optimise outcomes.


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Plastic SurgerySt Thomas’ HospitalLondonUK
  2. 2.Department of Plastic, Reconstructive and Aesthetic SurgeryUniversity Hospital, BaselBaselSwitzerland
  3. 3.Department of Plastic and Reconstructive SurgerySt Thomas’ HospitalLondonUK

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