A Simple Technique to Correct Lumpectomy Deformities Using Free Nipple Grafting

Area of Science:

• Plastic Surgery
• Oncologic Reconstruction
• Breast Surgery

Background:

• Lumpectomy followed by radiation therapy can cause significant breast asymmetry.
• Traditional mastopexy on irradiated breasts carries a high risk of complications.
• A novel surgical approach is presented to address breast asymmetry post-radiation.

Purpose of the Study:

• To evaluate the efficacy of free nipple-areola complex (NAC) grafting as an alternative surgical method for achieving breast symmetry.
• To assess the outcomes in patients who underwent lumpectomy and subsequent radiation therapy.

Main Methods:

• A case series of 5 patients undergoing breast revision surgery using free NAC grafting and contralateral mastopexy.
• The procedure involves free NAC grafting of the irradiated breast and primary closure of the donor site, followed by mastopexy on the non-irradiated breast.
• Data collected on operative time, follow-up duration, and complication rates.

Main Results:

• The average follow-up period was 5.8 months.
• Two out of five patients (40%) experienced hypopigmentation of the reconstructed NAC.
• No major complications or need for reoperation were reported, with all patients achieving improved breast symmetry.

Conclusions:

• Free NAC grafting combined with contralateral mastopexy presents a reliable and less invasive alternative for restoring breast symmetry.
• This technique is suitable for patients experiencing asymmetry after lumpectomy and radiation therapy.
• The study highlights a viable option for improving aesthetic outcomes in breast cancer survivors.