Nipple Areola Complex Reconstruction With the 'Half-Dome' Technique Following Implant-Based Breast Reconstruction
| Autor: | Jordan E. Fishman, Wendy Chen, Carolyn De La Cruz |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Areola reconstruction medicine.medical_specialty Esthetics Breast Implants Mammaplasty Treatment outcome Breast Neoplasms Surgical Flaps Cohort Studies Humans Medicine In patient Breast Implantation Clinical scenario Mastectomy Retrospective Studies business.industry Nipple areola complex Follow up studies Middle Aged Surgery Treatment Outcome Nipples Female Implant Breast reconstruction business Follow-Up Studies |
| Zdroj: | Annals of Plastic Surgery. 82:614-617 |
| ISSN: | 1536-3708 0148-7043 |
| Popis: | Background No single technique for nipple areola reconstruction best fits every patient and clinical scenario. Many techniques fail to provide long-term projection. One especially challenging cohort are those patients who have undergone bilateral implant-based reconstruction. We developed a modification of the C-V flap reconstruction that increases projection in the bilateral, implant-based reconstruction patient. Methods All patients who underwent nipple areola reconstruction following implant-based breast reconstruction and who had at least a 12-month follow-up visit were identified. Nipple projection was measured and compared between the 2 groups. Results Forty patients were identified. Twelve patients, 23 nipples, underwent the standard C-V flap reconstruction. Twenty-eight patients, 59 nipples, underwent the half-dome modification. Average nipple projection following the half-dome technique is more than twice that of the C-V flap. Conclusions The half-dome technique provides a useful alternative modification of the C-V flap in patients with implant-based reconstruction. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|