Nipple areolar reconstruction (NAC) was introduced since 1940s and evolved as parallel with breast reconstruction since era of breast cancer treatment. It consists of nipple and areolar reconstruction. Ideal reconstruction of the NAC requires symmetry in position, size, shape, texture, and pigmentation and permanent projection. There are many innovative ways to create a nipple and each method has its unique characteristics that apply to certain breast types. NAC reconstruction techniques comprises of composite nipple grafts, local flap, flaps with autologous graft augmentation, flaps with alloplastic augmentation and flaps with allograft augmentation. Areolar reconstruction by using skin grafting and tattooing are the easiest and most common techniques. With the evolution of techniques and technology, perhaps the newer methods of NAC reconstruction can produce promising long-lasting aesthetically acceptable result with minimal morbidity.
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http://dx.doi.org/10.3978/j.issn.2227-684X.2014.02.06 | DOI Listing |
Indian J Plast Surg
December 2024
Department of Plastic, Reconstructive, and Hand Surgery, University of Tsukuba, 1-1-1Tennodai, Tsukuba, Ibaraki, Japan.
Perifascial areolar tissue (PAT) transplant is a technique in which a sheet of connective tissue on the fascia is harvested and transplanted to the wound bed. PAT engraftment fails when the exposed area of tendons, bones, or artificial materials is large. On the other hand, combination of tissue transplant and basic fibroblast growth factor (bFGF) improves the survival rate of the transplanted tissue.
View Article and Find Full Text PDFJ Surg Case Rep
January 2025
Department of Plastic and Reconstructive Surgery, University of South Dakota Sanford School of Medicine, 1500 W. 22nd St. Suite 101, Sioux Falls, SD 57105, United States.
Achieving satisfactory nipple esthetics following skin-sparing or nipple-sparing mastectomy is an important element of ensuring positive patient outcomes. Several techniques used to reconstruct the nipple-areolar complex have been described in previous literature and have had success in securing good cosmetic outcomes. For patients with macrothelia, surgeons may employ a number of options in reducing nipple size.
View Article and Find Full Text PDFPlast Reconstr Surg Glob Open
December 2024
From the Department of Plastic Surgery, University of California Irvine Medical Center, Orange, CA.
Background: Successful nipple-areolar complex (NAC) reconstruction greatly influences patient outcomes for transgender patients undergoing chest masculinization. Despite the recent rise in case volume, little is known on designing the ideal NAC that maintains its aesthetics in dynamic settings. This study aimed to examine the characteristics of male NACs and their dimensional variability to help develop guidelines on designing the neo-NAC.
View Article and Find Full Text PDFPlast Reconstr Surg Glob Open
December 2024
From Division of Plastic and Reconstructive Surgery, Rutgers New Jersey Medical School, Newark, N.J.
Background: Given the public's tendency to overestimate the capability of artificial intelligence (AI) in surgical outcomes for plastic surgery, this study assesses the accuracy of AI-generated images for breast augmentation and reduction, aiming to determine if AI technology can deliver realistic expectations and can be useful in a surgical context.
Methods: We used AI platforms GetIMG, Leonardo, and Perchance to create pre- and postsurgery images of breast augmentation and reduction. Board-certified plastic surgeons and plastic surgery residents evaluated these images using 11 metrics and divided them into 2 categories: realism and clinical value.
Ann Surg Oncol
December 2024
Division of Breast Surgery, Department of Surgery, Linkou Chang Gung Memorial Hospital, Taoyüan, Taiwan, R.O.C..
Background: We investigated the perioperative outcome and oncologic safety of performing nipple-sparing mastectomy (NSM) through a single axillary incision (NSM-SAI) compared with performing NSM through a conventional incision (NSM-C).
Methods: We retrospectively reviewed 725 patients who underwent NSM for breast cancer between January 2010 and December 2023; 333 patients who underwent NSM with immediate reconstruction (IR) were enrolled. Surgical outcomes and oncologic outcomes of NSM-C (n = 184), NSM performed through SAI with a freehand approach (NSM-SAI-F; n = 92), and with an endoscopic approach (NSM-SAI-E; n = 57) were demonstrated.
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