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Prosthetic nipple areola complex reconstruction after breast reduction: a case report
Salvatore Taglialatela Scafati1, Fabrizio Schonauer2, Dario d'Angelo3
1Plastiké STP, Plastic Surgery Clinic, Giugliano in Campania (Naples), Italy.
Case Reports in Plastic Surgery & Hand Surgery
|April 6, 2026
Summary
Total nipple-areola complex (NAC) necrosis after breast reduction is rare. This case study shows successful reconstruction using a specialized silicone implant and medical tattooing, restoring appearance and patient satisfaction.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Aesthetic Surgery
Background:
- Total nipple-areola complex (NAC) necrosis is a rare but devastating complication following breast reduction surgery.
- Loss of the NAC significantly impacts patient aesthetics and psychological well-being.
- Existing reconstruction methods may not fully restore projection and contour.

