Immediate nipple reconstruction in combination with implant reconstruction using dermal sling

Breast J. 2017 Nov;23(6):723-725. doi: 10.1111/tbj.12904. Epub 2017 Sep 11.

Abstract

The inferior de-epithelialized dermal flap with implant is increasingly used for immediate breast reconstruction. We have adapted the technique to provide concurrent immediate nipple reconstruction by recruiting the triangle of skin above the excised nipple as a modified C-V flap. The safety and efficacy of this technique has been assessed in 15 patients, of which eight were bilateral and seven were unilateral cases. We suggest that this is a safe, reliable, and original technique for immediate nipple reconstruction in patients undergoing immediate breast reconstruction with an inferior dermal sling and implant.

Keywords: breast reconstruction; immediate; implant; nipple reconstruction; outcomes.

MeSH terms

  • Adult
  • Aged
  • Breast Neoplasms / surgery*
  • Female
  • Humans
  • Mammaplasty / methods*
  • Mastectomy, Subcutaneous / methods*
  • Middle Aged
  • Nipples / surgery*
  • Postoperative Complications
  • Surgical Flaps
  • Treatment Outcome