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Nipple reconstruction: technical aspects and evolution in 14 patients.

Jaques Lebeau1, Thucydides Rodrigues Lopes, Antonella Gallodoro

  • 1Department of Plastic and Maxillofacial Surgery, University of Grenoble, Grenoble, France.

Plastic and Reconstructive Surgery
|March 10, 2006
PubMed
Summary

Modified Thomas

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Oncology

Background:

  • Neonipple projection deterioration after mastectomy breast reconstruction is a significant concern.
  • Thomas's technique for neonipple reconstruction requires modification to address long-term projection loss.

Purpose of the Study:

  • To modify Thomas's technique for neonipple reconstruction.
  • To evaluate the long-term projection and diameter stability of the modified technique.

Main Methods:

  • The modified Thomas's technique was applied in 14 patients undergoing breast reconstruction.
  • Neonipple and contralateral nipple dimensions (diameter and projection) were measured and compared after a minimum of 10 months.

Main Results:

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  • 80% of patients exhibited height variation ≤1 mm compared to the contralateral nipple.
  • 85.7% of patients showed minimal diameter variation (approximately 1 mm).
  • Only two cases reported a 3-mm loss of height.

    • Conclusions:

    • The modified Thomas's technique provides stable neonipple projection and diameter over the long term.
    • This technique effectively recreates a nipple that remains aesthetically consistent with the contralateral nipple.