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Periareolar Techniques

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Oncoplastic and Reconstructive Breast Surgery

Abstract

The nipple–areola complex (NAC) is an important component of the breast and its aesthetic outcome is crucial in most patients who have been diagnosed with breast cancer. The technical objectives of breast surgery are resection of the breast tissue with adequate margins while restoring the breast volume. To achieve these goals, numerous approaches have been proposed involving a variety of designs incorporating a periareolar incision, or other variations in the shape around the NAC. In our experience, with the periareolar approaches, the aesthetic results can be improved further. In breast-conserving surgery, the final scarring can be kept at the natural border of the NAC with the breast skin. In skin-sparing mastectomy, the patchlike effect of skin flaps can be avoided, which may be less favorable than the other incisions. Thus, scar reduction and even total camouflage by the future NAC reconstruction are the main positive aspects of the periareolar techniques.

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Author information

Authors and Affiliations

  1. Plastic Surgery Department, Hospital Sírio-Libanês, São Paulo, Brazil

    Alexandre Mendonça Munhoz

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  1. Alexandre Mendonça Munhoz
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Correspondence to Alexandre Mendonça Munhoz .

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Editors and Affiliations

  1. , BreastUnit, Hospital Nossa Senhora das Gracas, Rua Padre Agostinho 913 ap 51, Curitiba, 80430050, Brazil

    Cicero Urban

  2. , Plastic and Reconstructive Division, European Institute of Oncology, Via Ripamonti, 435, Milan, 20100, Italy

    Mario Rietjens

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Munhoz, A.M. (2013). Periareolar Techniques. In: Urban, C., Rietjens, M. (eds) Oncoplastic and Reconstructive Breast Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2652-0_13

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  • DOI: https://doi.org/10.1007/978-88-470-2652-0_13

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2651-3

  • Online ISBN: 978-88-470-2652-0

  • eBook Packages: MedicineMedicine (R0)

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