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Updated: Feb 4, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Simultaneous Nipple-Areola Complex Reconstruction Technique: Combination Nipple Sharing and Tattooing
Han Gyu Cha1, Jin Geun Kwon1, Eun Key Kim2
1Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
This study presents a simplified simultaneous nipple-areola complex (NAC) reconstruction using nipple sharing and tattooing. The technique offers high patient satisfaction and a shorter overall reconstruction time with minimal complications.
Area of Science:
- Plastic Surgery
- Oncology
- Reconstructive Surgery
Background:
- Nipple-areola complex (NAC) reconstruction is crucial for breast symmetry and patient satisfaction post-mastectomy.
- Achieving complete breast reconstruction often relies on successful NAC restoration.
Purpose of the Study:
- To introduce and evaluate a simplified, simultaneous NAC reconstruction method.
- To assess the safety, efficacy, and patient satisfaction of this technique.
Main Methods:
- Retrospective evaluation of patients undergoing simultaneous NAC reconstruction with nipple sharing and tattooing (July 2012 - December 2017).
- Analysis of breast reconstruction type, reconstruction intervals, operative time, and complications.
- Assessment of patient satisfaction and willingness for repeat procedures.
Main Results:
- Mean operation time for simultaneous NAC reconstruction was 46 minutes.
- No major complications like infection or total nipple loss were reported.
- High patient satisfaction (average 8.0/10) and 96.9% willingness for repeat procedures.
Conclusions:
- The simplified simultaneous NAC reconstruction with nipple sharing and tattooing is safe and effective.
- This technique leads to high patient satisfaction and reduces the overall reconstruction period.
- The method is practical for clinical settings, benefiting both patients and surgeons.
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