Usefulness of Rapiplug in nipple reconstruction to improve nipple projection

Lee, Joon Seok; Kwon, Joon Hyun; Lee, Jeong Woo; Choi, Kang Young; Cho, Byung Chae; Yang, Jung Dug

doi:10.1111/ans.14410

Cited by 2 publications

(1 citation statement)

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“…However, besides the burden of an additional operation for patients, a great aesthetic outcome is usually not secured (23). Numerous techniques have been described for nipple reconstruction following mastectomy (e.g., using autologous tissue or materials such as collagen or silicone implant), but none is entirely satisfactory (24).…”

Section: Discussionmentioning

confidence: 99%

Simultaneous nipple reconstruction in autologous breast reconstruction

Lee¹,

Ryu²,

Lee³

et al. 2021

Gland Surg

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Background: Reconstruction of the nipple-areola complex is the final step in surgical restoration of the breast. Nipple-areola reconstruction was previously done after an interval of several months using variable techniques, often resulting in low projection and flattened breast mound over time. We present algorithm of simultaneous nipple reconstruction (SNR) that leaves adequate residual projection and naturally shaped breast mound.Methods: Forty patients underwent a skin-sparing mastectomy and nipple excision between October 2016 and December 2020. In the control group, 21 patients underwent delayed nipple reconstruction for 6 months after breast reconstruction. The experimental group of 19 patients underwent nipple and breast reconstruction simultaneously. We collected relevant information and photographs of nipple profiles of both groups in the preoperative, postoperative 6-month, and postoperative 1-year time periods. We also examined the ratio between the reconstructed and contralateral nipples.Results: Scores regarding patient satisfaction questionnaire averaged higher in experimental groups to every category. The control group's scores gradually declined over time and the experimental group showed lesser decline. At the 1-year postoperative follow-up, the mean projection of the immediately reconstructed nipple was approximately the same as the contralateral nipple at 91%, whereas the delayed reconstructed nipple resulted in a 77% ratio.Conclusions: Nipple reconstruction should no longer be considered as a secondary complement to immediate breast reconstruction. The nipple appears to be essential component of breast reconstruction for patient. SNR with immediate breast reconstruction is a simple and reliable technique, giving stable aesthetic results over time.

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Section: Discussionmentioning

confidence: 99%