| Popis: |
Areola tattooing marks the end of a patient’s treatment plan by turning a volume into a breast. Although seemingly simple, the technique must be performed carefully to get a uniform color and a regular form. Inherent to any technical learning curve, the first tattoos may display heterogeneous staining or contour defects that are difficult to rectify. We propose a simple, reliable and reproducible procedure using a stencil for homogeneous tattoos with regular edges. First, electrocardiogram round electrodes are placed on the breast of the standing patient to determine the best tattoo position and the outline of the areola is drawnwith a dermographic pencil. After skin disinfection, the outline of the areola is marked out again with a sterile dermographic pencil and the back of a Comfeel Plus© dressing (Coloplast A/S, Espergaerder, Denmark) is applied over the freshly penciled mark to copy the outline of the areola. Using scissors, a hole in the shape of the areola is cut out in the Comfeel© dressing. On dried skin, the dressing is carefully placed over the future areola and the pigment applied to the skin. The tattoo machine is placed about five times over the entire hole in horizontal, vertical, oblique right and left movementse the dermograph resting against the dressing at each passage (Figure 1). The same pattern is repeated as needed until a homogeneous tattoo is obtained (Figure 2). The technique is illustrated with a video : (https://www.youtube.com/watch? v1⁄4vTEar38SkiU&feature1⁄4youtube_gdata). |
