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The Mini-Wise Pattern Nipple-Share Technique for Enhanced Nipple Reconstruction.

Gabriel N Kuper1, Stephanie E McCann1, Esta S Bovill2

  • 1From the Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Plastic and Reconstructive Surgery. Global Open
|October 27, 2025
PubMed
Summary

The mini-Wise pattern nipple-share technique enhances breast reconstruction by preserving nipple pigmentation and projection. This modified surgical approach offers improved aesthetics and patient satisfaction after mastectomy.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Oncology

Background:

  • Nipple-areola complex reconstruction is vital for patient satisfaction post-mastectomy.
  • Traditional methods often yield suboptimal nipple projection, pigmentation, and scarring.
  • Existing techniques face challenges with radiated skin or alloplastic reconstructions.

Purpose of the Study:

  • To introduce and describe the mini-Wise pattern nipple-share technique for nipple-areola reconstruction.
  • To address limitations of traditional techniques, focusing on native pigmentation preservation and projection.
  • To present a modified approach suitable for skin-sparing and areola-sparing mastectomies.

Main Methods:

  • Description of the mini-Wise pattern nipple-share technique, a modification of traditional approaches.
  • Application in skin-sparing and areola-sparing mastectomies.
  • Utilizes 3-dimensional concepts to maximize tissue use and create sustainable projection.

Main Results:

  • Preserves native nipple pigmentation, potentially eliminating the need for tattooing.
  • Achieves sustainable nipple projection for both donor and recipient sites.
  • Results in an aesthetically pleasing donor site with minimal scarring.

Conclusions:

  • The mini-Wise pattern nipple-share technique offers an effective solution for nipple-areola reconstruction.
  • This method improves aesthetic outcomes and patient satisfaction by overcoming limitations of older techniques.
  • It is particularly advantageous for specific mastectomy types and challenging recipient sites.