The S nipple-areola reconstruction

Area of Science:

• Plastic Surgery
• Reconstructive Surgery

Background:

• Nipple reconstruction is the final stage of breast reconstruction post-mastectomy.
• Common methods include free grafts and local flaps, often leading to nipple flattening or absorption.

Purpose of the Study:

• To introduce and evaluate a novel S-shape local flap technique for nipple reconstruction.
• To achieve a long-standing, well-projected nipple with improved aesthetic outcomes.

Main Methods:

• Reconstruction of 22 nipples using a unique S-shape design with two large local flaps.
• Areola reconstruction utilized a full-thickness skin graft from the inner thigh.
• Tattooing was employed to achieve natural nipple color.

Main Results:

• The S-shape flap technique resulted in a durable, protruding nipple.
• The nipple height was adjustable, even with mastectomy scars.
• Post-operative shrinkage occurred within 2 months, yielding an adequate final size.

Conclusions:

• The S-shape local flap technique offers a reliable and effective method for nipple reconstruction.
• This approach overcomes the limitations of absorption and flattening associated with other techniques.
• The technique provides satisfactory aesthetic results for patients undergoing breast reconstruction.