Reconstruction of the nipple—areola complex (NAC) is an essential part of the quality of a breast reconstruction. It should be possible to do this under local anaesthesia in order to both reduce the number of general anaesthetics and increase its acceptability.
Numerous techniques have been described in the literature (Amarante et al. 1994; Klatsky and Manson 1981; Eskenazi 1993; Anton and Hartrampf 1990; Kroll 1999; Weiss et al. 1989; Cronin et al. 1988; Little 1987; McCraw 1992; Brent and Bostwick 1977; Hallock and Altobelli 1993; Heitland et al. 2006). We describe the principal ones along with their advantages and disadvantages.
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References
Amarante JT, Santa-Comba A, Reis J, et al. (1994) Hallux pulp composite graft in nipple reconstruction. Aesthetic Plast Surg 18:299–300
Anton MA, Hartrampf CR (1990) Nipple reconstruction with the star flap. Plast Surg Forum 13:100
Brent B, Bostwick J (1977) Nipple-areola reconstruction with auricular tissues. Plast Reconstr Surg 60(3):353–61
Cronin ED, Humphreys DH, Ruiz-Razura A (1988) Nipple reconstruction: the S flap. Plast Reconstr Surg 81(5):783–7
Eskenazi L (1993) A one-stage nipple reconstruction with the “modifi ed star” flap and immediate tattoo: a review of 100 cases. Plast Reconstr Surg 92(4):671–80
Georgiade GS, Riefkohl R, Georgiade NG (1985) To share or not to share. Ann Plast Surg 14(2):180–6
Hallock GG, Altobelli JA (1993) Cylindrical nipple reconstruction using an H flap. Ann Plast Surg 30(1):23–6
Heitland A, Markowicz M, Koellensperger E, et al. (2006) Long-term nipple shrinkage following augmentation by an autologous rib cartilage transplant in free DIEP-flaps. J Plast Reconstr Aesthet Surg 59:1063–7
Hobson MI, Williams N, Sharpe DT (1996) The “Mushroom” nipple-areolar reconstruction: a patient review. Ann Plast Surg 37(4):453
Klatsky SA, Manson PN (1981) Toe pulp free grafts in nipple reconstruction. Plast Reconstr Surg 68(2):245–8
Kroll SS (1999) Integrated breast mound reduction and nipple reconstruction with the wraparound flap. Plast Reconstr Surg 104(3):687–93
Kroll SS, Reece GP, Miller MJ, et al. (1997) Comparison of nipple projection with the modifi ed double-opposing tab and star flaps. Plast Reconstr Surg 99(6):1602–5
Lejour M (1971) Indications de la méthode Aries-Pitanguy dans la ptose mammaire. Acta Chir Belg 70:5–10
Lejour M (1994) Vertical mammaplasty and liposuction of the breast. Plast Reconstr Surg 94:100–14
Little JW (1987) Nipple-areolar reconstruction. Adv Plast Reconstr Surg 43:7
Losken A, Mackay GJ, Bostwick J 3rd (2001) Nipple reconstruction using the C-V flap technique: a long-term evaluation. Plast Reconstr Surg 108(2):1602–5
McCraw JB (1992) “Fish-tailed flap” for nipple reconstruction. Aesthetic and Reconstructive Surgery of the Breast Symposium sponsored by Manhatten Eye, Ear and Throat Hospital
Millard DR Jr (1972) Nipple and areola reconstruction by split-skin graft from the normal side. Plast Reconstr Surg 50(4):350–3
Piotti F (1971) Mastoplasty by the Pitanguy method. Minerva Chir 26:173–85
Staub G, Fitoussi A, Falcou M-C, Salmon RJ (2008) Breast cancer surgery: use of mammaplasty. Results. Series of 298 cases. Ann Chir Plast Esthet 53:124–34
Weiss J, Herman O, Rosenberg L, et al. (1989) The S nipple-areola reconstruction. Plast Reconstr Surg 83(5):904–6
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(2009). Second-Stage Surgery. In: Fitoussi, A., Berry, M., Couturaud, B., Salmon, R.J. (eds) Oncoplastic and Reconstructive Surgery for Breast Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-00144-4_8
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