One-Stage Breast Reconstruction Using the Inferior Dermal Flap, Implant, and Free Nipple Graft
The inferior dermal flap with implant and free nipple graft is a valuable technical option available to women with ptotic breasts requiring immediate breast reconstruction. This single-stage procedure uses autologous tissue for an inferolateral dermal sling that is sutured to the pectoralis major muscle, supporting an implant and shaping the breast. Using the ipsilateral nipple as a free nipple graft facilitates immediate color matching with the contralateral nipple and conveys a far more elegant cosmetic reconstruction in comparison with that resulting from delayed nipple reconstruction or areolar tattooing. This one-stage operation avoids both a prolonged operation and also the costs and potential morbidity of prosthetic mesh use. This approach offers a safe, reliable, and cosmetically acceptable outcome for women with larger, ptotic breasts.
- 3.Bostwick J. Prophylactic (risk-reducing) mastectomy and reconstruction. In: Bostwick J, editor. Plastic and reconstructive breast surgery, vol. II. St Louis: Quality Medical Publishing; 1990. p. 1369–73.Google Scholar
- 8.King ICC, Harvey J. One stage breast reconstruction using the inferior dermal flap, implant and free nipple graft. In: Shiffman MA, editor. Breast reconstruction: art, science and new clinical techniques. Berlin: Springer; 2015. p. 467–73.Google Scholar
- 16.Regnault P. Breast ptosis: definition and treatment. Clin Plast Surg. 1976;34(2):193–203.Google Scholar
- 17.National Mastectomy and Breast Reconstruction Audit 2011. 22 Mar 2011. http://www.ic.nhs.uk/mbr. Accessed 31 Aug 2012.
- 18.Kijima Y, Yoshinaka H, Hirata M, Mizoguchi T, Ishigami S, Arima H, Nakajo A, Ueno S, Natsugoe S. Oncoplastic surgery combining partial mastectomy with breast reconstruction using a free nipple-areola graft for ductal carcinoma in situ in a ptotic breast: report of a case. Surg Today. 2011;41(3):390–5.CrossRefPubMedGoogle Scholar