Abstract
Nipple-areola complex (NAC) reconstruction represents the final stage of breast reconstruction and it is usually performed several months after the breast volume was restored. Ideally, the reconstructed areola should have the same size, color and texture as the opposite areola. Most common techniques are skin graft and tattooing. When the contralateral areola has significant size (>7 cm diameter), we prefer using part of it for reconstruction. If mastopexy or breast reduction is necessary for obtaining symmetry, the areola reconstruction is simultaneously performed at this stage. The outer part of the donor areola is deepithelialized and used as a thick split thickness graft. A “tie over” dressing is placed for 5 days. The advantage of this technique is that the “excess” of the normal areola is not wasted.
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References
Broadbent TR, Woolf RM, Metz PS (1977) Restoring the mammary areola by a skin graft from the upper inner thigh. Br J Plast Surg 30(3):220–222
Ainslie NB, Ojeda-Fournier H (1996) Creating a realistic breast: the nipple-areola reconstruction. Plast Surg Nurs 16(3):156–161, 165
Spina V (1950) Plastic reconstruction of areola with labia minora graft; symmetrical reconstruction of breast contour and size. Rev Paul Med 37(3):215–218
Prpic I (1980) Reconstruction of the breast after mastectomy for carcinoma. Acta Chir Belg 79(2):103–104
Rao SS, Seaman BJ, Davison SP (2014) The acellular dermal matrix onlay graft for areolar reconstruction. Ann Plast Surg 72(5):508–512
Vandeweyer E (2003) Simultaneous nipple and areola reconstruction: a review of 50 cases. Acta Chir Belg 103(6):593–595
Spear SL, Arias J (1995) Long-term experience with nipple-areola tattooing. Ann Plast Surg 35(3):232–236
Eskenazi L (1993) A one-stage nipple reconstruction with the “modified star” flap and immediate tattoo: a review of 100 cases. Plast Reconstr Surg 92(4):671–680
Spear SL, Convit R, Little JW 3rd (1989) Intradermal tattoo as an adjunct to nipple-areola reconstruction. Plast Reconstr Surg 83(5):907–911
Hugo NE, Sultan MR, Hardy SP (1993) Nipple-areola reconstruction with intradermal tattoo and double-opposing pennant flaps. Ann Plast Surg 30(6):510–513
Hallock GG (1990) Polyurethane nipple prosthesis. Ann Plast Surg 24(1):80–85
Ullmann Y et al (1992) Nipple-areola reconstruction with a custom-made silicone ectoprosthesis. Ann Plast Surg 28(5):485–487
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Fodor, L., Sobec, R., Fodor, M. (2016). The Contralateral Areola Graft for Nipple-Areola Complex Reconstruction. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_97
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DOI: https://doi.org/10.1007/978-3-319-18726-6_97
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18725-9
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