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Related Experiment Video

Updated: May 14, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

The weave technique for nipple reconstruction.

John Y S Kim¹, Madeleine J Gust, Caitlin M Connor

¹Division of Plastic and Reconstructive Surgery, Northwestern Medical Faculty Foundation, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA. jokim@nmh.org

Journal of Plastic Surgery and Hand Surgery

|January 29, 2013

Summary

The weave technique offers a novel approach to nipple reconstruction, improving long-term projection and simplifying placement. This method addresses common issues like projection loss and base width widening seen in traditional flap techniques.

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Area of Science:

Plastic Surgery
Reconstructive Surgery

Background:

Traditional nipple reconstruction often uses local flap techniques.
These methods can lead to issues like loss of projection, widened base, and difficulty with mastectomy scar placement.

Purpose of the Study:

To present and evaluate a modified local flap technique for nipple reconstruction, termed the weave technique.
To assess the aesthetic outcomes, projection, and patient satisfaction associated with this new method.

Main Methods:

The weave technique utilizes a single flap for base width and a second flap for nipple filling, aiming for sustained projection.
This approach simplifies nipple orientation relative to the mastectomy scar.
The technique was applied to 55 nipples in 40 patients, with a mean follow-up of 415 days.

Related Experiment Videos

Last Updated: May 14, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Main Results:

Excellent aesthetic results were achieved, with good nipple projection and site healing.
The majority of patients reported satisfaction with their reconstruction.
A low complication rate was observed, with only three patients experiencing wound healing difficulties, one requiring revision.

Conclusions:

The weave technique is a viable modification of existing flap methods for nipple reconstruction.
It potentially reduces projection loss, conserves base width, and offers greater flexibility in nipple placement.
This technique provides a simple yet effective option for nipple reconstruction, particularly after tissue expander-implant reconstruction.