The Free Nipple Breast Reduction Technique Performed with Transfer of the Nipple-Areola Complex over the Superior or Superomedial Pedicles
Although the free nipple breast reduction technique is essentially an amputation, achieving satisfactory aesthetic results is still important. In this chapter, we present our technique of free nipple and areola complex transfer over the superomedial or superior pedicled full-thickness flaps in patients where a free nipple technique is inevitable. The nipple-areola complex (NAC) is elevated as a full-thickness skin graft (FTSG) and transposed to the superior or superomedial pedicles that were planned initially. The subsequent stages of the operation are transformed into a Wise pattern breast reduction. Highly satisfactory aesthetic results with upper pole fullness and good projection could be obtained with the technique we described.
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