Thursday, 27 June 2019

Reconstruction of the Areola-Nipple Complex after Mastectomy

Introduction: The creation of the Areola-Nipple complex is the last time of breast reconstruction, transforming the breast mound into a real breast.
Objective: Show the results, advantages and disadvantages of different techniques applied in the reconstruction of the Areola-Nipple Complex.
Material and methods: A retrospective descriptive study of 70 patients with oncological deformities of the breast at Hermanos Ameijeiras Hospital from January 2008 to December 2018 was carried out. Results: 18 patients were created the nipple by local flaps method, 44 were grafted and 8 without reconstruction since it was not desired, and others had no projection of the healthy nipple. Of these 53 were tattooed, 15 grafted with contralateral areola and 2 without reconstruction. There were no complications in the contralateral nipple graft, but with the other method 100% suffered flattening with regular results. Of the 53 tattooed patients, good results predominated and only 16 had slight pigmentation disorders.
Conclusions: The reconstruction of the Areola-Nipple Complex after ablative surgery of the breast transforms the breast of more natural aspect and the ideal methods are the contralateral nipple graft and the intradermal tattoo.

To read full article, please visit: https://medwinpublishers.com/IJTPS/IJTPS16000129.pdf