The Contralateral Areola Graft for Nipple-Areola Complex Reconstruction

  • Lucian Fodor
  • Raluca SobecEmail author
  • Marius Fodor


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.


Donor Site Skin Graft Breast Reconstruction Donor Site Morbidity Significant Size 
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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of Plastic Surgery and Burn UnitEmergency District HospitalCluj NapocaRomania
  2. 2.Department of Plastic Surgery and Burn UnitUniversity of Medicine and Pharmacy “Iuliu Hatieganu”Cluj NapocaRomania
  3. 3.Department of Plastic Surgery and Burn UnitEmergency District HospitalCluj NapocaRomania
  4. 4.General Surgery DepartmentEmergency District HospitalCluj NapocaRomania

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