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Secondary nipple reconstruction using two surgical techniques. | LitMetric

Secondary nipple reconstruction using two surgical techniques.

Arch Plast Surg

Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Seoul, Korea.

Published: November 2021

AI Article Synopsis

  • Secondary nipple reconstruction often faces challenges due to flattening after the initial procedure, and the best methods for effective reconstruction remain unclear.
  • A review of data from March 2012 to January 2019 indicated that out of 27 reconstructed nipples, those using purse-string sutures showed 53% acceptable projection, while star flaps had a 75% success rate in achieving similar results.
  • The study concludes that using tailored approaches like purse-string sutures and star flaps based on tissue condition can lead to satisfactory outcomes, with 73% of patients expressing overall satisfaction.

Article Abstract

Background: Although the initial projection after primary nipple reconstruction is excellent, nipple projection gradually flattens in most cases due to multiple causes. Although various methods have been reported to rebuild the nipple after nipple flattening, the most effective method of secondary nipple reconstruction remains unknown. The aim of this study was to review our institution's experiences with secondary nipple reconstruction.

Methods: We conducted a retrospective review from March 2012 to January 2019. We performed secondary nipple reconstruction if the primary reconstructed nipple height differed by more than 6 mm from the normal nipple height. We chose the method of nipple revision according to the degree of tissue scarring and the remaining nipple projection.

Results: We performed secondary nipple reconstruction on a total of 27 nipples, using pursestring sutures for 19 nipples and star flaps in eight nipples. The median follow-up period was 8 months (range, 6-19 months) after the final nipple reconstruction. Among the 19 nipples reconstructed using purse-string sutures, 10 (53%) demonstrated acceptable projection of more than 5 mm. Among the eight nipples reconstructed using star flaps, six (75%) showed acceptable projection of more than 5 mm. Most of the patients (73%) were satisfied (scores of 4 or 5) with the nipple reconstruction overall.

Conclusions: Few studies have presented favorable outcomes of secondary nipple reconstruction. When the star flap and purse-string suture methods were used depending on the remaining nipple height and scarring, appropriate projection could be achieved.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8627941PMC
http://dx.doi.org/10.5999/aps.2021.00304DOI Listing

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