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Nipple-areolar complex reconstruction: systematic approach

Authors
 Dong Won Lee  ;  Dae Hyun Lew 
Citation
 JOURNAL OF THE KOREAN MEDICAL ASSOCIATION, Vol.54(1) : 44-50, 2011 
Journal Title
JOURNAL OF THE KOREAN MEDICAL ASSOCIATION(대한의사협회지)
ISSN
 1975-8456 
Issue Date
2011
MeSH
Abnormalities, Multiple/surgery* ; Adolescent ; Breast Diseases/congenital ; Breast Diseases/surgery* ; Breast Implants* ; Female ; Humans ; Mammaplasty/methods* ; Nipples/surgery
Keywords
Amazia ; Breast ; Congenital ; Reconstruction
Abstract
The goal of nipple-areolar reconstruction is to create a nipple that is appropriately located on the breast mound and has adequate projection, shape, color and texture to match the contralateral nipple-areolar complex. Despite various reports of techniques, no single technique is considered as an established method. The common methods of nipple reconstruction consist of composite grafts and local flaps, and the areolar is usually reconstructed by skin graft and tattooing. The authors introduce a systematic approach to select the appropriate reconstructive techniques for nipple-areolar complex reconstruction. If the patient has sufficient projection of the contralateral nipple and is willing to use it as a donor site, the composite graft of nipple is primarily considered. When the composite graft is not indicated, the methods using local flap such as skate flap and CV flap are proposed. Skate flap is best suited to maintain the contour of reconstructed breast mound. Although CV flap may distort the shape of breast mound, the method is popular for its simplicity. For creation of areolar, tattooing is widely performed to minimize the donor site morbidity rather than skin graft. Despite the algorithm of reconstructive techniques, it is important for the surgeon to choose the most familiar technique for superior outcomes. The nipple-areolar complex reconstruction is an integral step in the long treatment journey. Although the techniques of nipple reconstruction seem simplistic, they play a major role and demand meticulous attention to achieve good aesthetic outcomes.
Files in This Item:
T201194379.pdf Download
DOI
10.5124/jkma.2011.54.1.44
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Lew, Dae Hyun(유대현)
Lee, Dong Won(이동원) ORCID logo https://orcid.org/0000-0003-0046-3139
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95484
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