Tattooing of the nipple-areola complex: review of outcome in 40 patients

El-Ali, K.; Dalal, Milind; Kat, C.C.

doi:10.1016/j.bjps.2006.01.036

Cited by 34 publications

(17 citation statements)

References 11 publications

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“…In addition, the phagocytosis by macrophages and lymphatic drainage decreases the pigment concentration [51,36]; this is particularly significant in case when pigment is deposited into the deeper dermis layer. The bulky scar formation as a result of undesired skin damage and the needless blood loss cause the pigment excretion that may contribute to premature color fading as well [39,41]. Because of these reasons, maintaining an appropriate depth, minimizing skin damage, and tattooing carefully are important to obtain a good result.…”

Section: Tattooingmentioning

confidence: 99%

Areola Reconstruction: Principles and Techniques

Simonacci¹,

Bertozzi²,

Pesce³

et al. 2018

MEDJ

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At the end of breast reconstruction, the creation of a natural-appearing areola is very important for patient satisfaction with the surgical result. The challenging aspects of achieving this include matching the color and texture as well as the size, shape, position, and projection of a normal areola, particularly in unilateral cases. The most common techniques that have been used to create a naturalistic nipple–areola complex have included skin grafting, tattooing, or a combination of both. Surgeons are finding that tattooing, the intradermal electric deposition of pigments, can be used to closely approximate natural areola pigmentation. Using the appropriate technique is essential as it is known that tattoo pigment fades over time and appears somewhat different after intradermal applied. Indeed, physicians’ experience and color selection greatly affect the aesthetic outcome. Skin grafting has long been used in nipple–areola reconstruction, and skin donor sites such as retro- auricular, inner thigh, labia minora and contralateral areola have been employed. The choice of donor site depends on different factors, including the presence of a healthy contralateral areola and the skin tone of the patient. In some cases, tattooing may be used in conjunction with grafting. Regardless of areolar reconstructive technique, medical pigmentation is becoming a preferred method of producing a more realistic-appearing breast, although periodic touch-ups may be required for optimal results.

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Section: Tattooingmentioning

confidence: 99%

Areola Reconstruction: Principles and Techniques

Simonacci¹,

Bertozzi²,

Pesce³

et al. 2018

MEDJ

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“…5, б). По данным литературы, депигментация ареолы и со-ска после применения медицинского татуажа составляет 9,5-32% [12,13].…”

Section: оригинальные статьиunclassified

Remedial surgery and possible complications after reconstructive plastic interventions into the breast

Арсланов¹,

Zikiryakhodjaev²,

Усов³

et al. 2015

Onkol. Z. im. P.A. Gercena

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12Рак молочной железы (РМЖ) является одной из наи-более распространенных опухолей у женщин. РМЖ в России, как и в большинстве стран мира, занимает первое место по темпу роста заболеваемости. Распространенным методом хирургического лечения является мастэктомия.Утрата молочной железы после радикального хирурги-ческого лечения по поводу рака становится для женщин серьезной психической травмой, во многом определяю- Цель исследования -выбор метода завершающего этапа реконструктивно-пластических операций при раке молочной железы, направленных на улучшение косметического эффекта и качества жизни пациенток и минимизация осложнений после них. Материал и методы. Проведен анализ результатов хирургического лечения 55 больных раком молочной желе-зы, которым были выполнены корригирующие операции на здоровой и реконструированной железе и восстановлен соско-во-ареолярный комплекс (САК) в период 1991-2013 гг. Результаты. У 34 пациенток выполнены корригирующие операции на здоровой и сформированной молочной железе для достижения симметрии. У 14 больных проведена операция по заме-не временного тканевого экспандера на постоянный силиконовый эндопротез. У 46 пациенток выполнена пластика САК. У 8 (23,5%) из 34 пациенток отмечены осложнения. Ведущим фактором ранних послеоперационных осложнений после пластики САК является инфицирование послеоперационной раны, приводящее к некрозу САК. Основными причинами поздних послеоперационных осложнений были: недостаточно выкроенные кожные лоскуты с подкожно-жировой тканью и нарушение техники медицинского татуажа. Заключение. Выбор метода завершающего этапа реконструктивно-пласти-ческих операций при раке молочной железы, направленных на улучшение косметического эффекта и качества жизни пациенток должен быть максимально индивидуализирован. Тщательное планирование и правильный выбор методики ре-конструктивной операции с учетом индивидуальных особенностей пациентки снижает риск осложнений в послеопераци-онном периоде. Завершенная реконструктивно-пластическая операция полностью избавляет пациентку от психологиче-ского, социального и эстетического дискомфорта. Ключевые слова: рак молочной железы, реконструктивно-пластические операции, корригирующие операции.Objective: to choose a method for the closing stage of reconstructive plastic surgery for breast cancer to improve a cosmetic effect and quality of life and to minimize postoperative complications. Subjects and methods. The results of surgical treatment were analyzed in 55 patients with breast cancer who had undergone remedial operations on the healthy and reconstructed breast to restore the nipple-areola complex (NAC) in 1991-2003. Results. Thirty-four patients underwent remedial surgery on the healthy and formed breast to achieve symmetry. Fourteen patients were operated on to change a temporary tissue expander for a continuous silicone implant. NAC plasty was carried out in 46 patients. Complications were noted in 8 (23.5%) of the 34 patients. Infection of a postoperative wound had led to NAC necrosis was a leading factor of early postoperative com...

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“…The microblading technique uses individual strokes to create the 'hair' and can therefore create a more natural look, while tattoo ink typically lasts much longer. Although tattooing seems to offer a promising method of restoring the appearance of hair loss (Betts, 2016), much of the current evidence stems from its use in nipple reconstruction following breast cancer (Clarkson et al, 2006;El-Ali et al, 2006;Goh et al, 2011;Harcourt et al, 2011;Smallman et al, 2018) and burn injuries (Yeates et al, 2018). Consequently, there is limited research focusing upon the exploration of medical tattooing for hair loss and on the motivations, expectations, and experiences of individuals seeking such treatment.…”

Section: Introductionmentioning

confidence: 99%

‘My face in someone else’s hands’: a qualitative study of medical tattooing in women with hair loss

Stock

Sharratt

Treneman-Evans

et al. 2021

Psychology, Health & Medicine

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The psychological and social impact of hair loss and its ongoing treatment can be considerable. Medical treatments are not always successful, and alternative treatments, such as medical tattooing, are growing in popularity. The aims of this study were to explore adults' motivations, experiences, and self-perceived outcomes in relation to medical tattooing. Individual telephone interviews were conducted with 22 women from the United Kingdom aged 26-67 years who had undergone medical tattooing in the past 5 years related to hair loss. Interviews were transcribed and inductive thematic analysis was performed. Appearance concerns, loss of self-confidence/identity, and the practicalities of daily upkeep were cited as reasons for seeking a semi-permanent solution. Trust in the practitioner and the ongoing costs of tattoo maintenance were important considerations in participants' decision-making process and their overall satisfaction with treatment outcomes. Participants felt the emotional impact of hair loss and the subsequent need for appearancerestoring treatment remains unrecognised. This study provides insight into participants' perceptions of an under-researched and unregulated but widely accessible treatment. Implications for the decision-making process are discussed, and suggestions for health professionals are offered.

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Tattooing of the nipple-areola complex: review of outcome in 40 patients

Cited by 34 publications

References 11 publications

Areola Reconstruction: Principles and Techniques

Areola Reconstruction: Principles and Techniques

Remedial surgery and possible complications after reconstructive plastic interventions into the breast

‘My face in someone else’s hands’: a qualitative study of medical tattooing in women with hair loss

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