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Innovations in Nipple-areolar Complex Reconstruction: Evaluation of a New Prosthesis
Michele Riccio1, Angelica Aquinati1, Mario Fordellone2
1From the Department of Reconstructive Surgery and Hand Surgery, Azienda Ospedaliera Universitaria delle Marche, Ancona, Italy.
Plastic and Reconstructive Surgery. Global Open
|January 13, 2025
Summary
Prosthetic devices offer a safe and satisfying option for nipple-areola complex (NAC) reconstruction after breast cancer surgery. This noninvasive approach enhances body image with minimal adverse effects for most patients.
Area of Science:
- Plastic Surgery
- Oncology
- Medical Devices
Background:
- Nipple-areola complex (NAC) reconstruction is vital for breast restoration and patient satisfaction.
- Existing NAC reconstruction methods, including surgical techniques and tattooing, have limitations and may not be suitable for all patients.
- Maintaining projection over time is a challenge for many current NAC reconstruction approaches.
Purpose of the Study:
- To evaluate the safety and efficacy of prosthetic devices for NAC reconstruction.
- To assess patient satisfaction levels with prosthetic NAC reconstruction.
- To examine the ease of implantation and long-term outcomes of NAC prostheses.
Main Methods:
- A study involving 20 individuals undergoing NAC reconstruction using prosthetic devices after breast reconstruction or NAC excision.
- A 1-year follow-up period to assess safety, ease of implantation, and patient satisfaction.
- Patient satisfaction was measured using a survey.
Main Results:
- High patient satisfaction (90%) with the appearance and balance of the reconstructed NAC.
- All participants reported enhanced body self-image and self-regard.
- The prosthetic devices demonstrated a high safety profile, with only 4 patients experiencing minor adverse events like skin reactions, infections, or erosion.
Conclusions:
- Prosthetic devices represent a safe, noninvasive, and affordable option for NAC reconstruction.
- These devices significantly improve patient satisfaction and body image.
- The study supports the consideration of prosthetic devices as a reconstructive option for breast reconstruction patients.
