Our Summary

This research paper is about a study comparing the results of immediate versus delayed nipple reconstruction during implant-based breast reconstruction surgeries. This is often done several months after the initial breast reconstruction. The study looked at patients who had nipple reconstruction from September 2014 to August 2015. It found that those who had immediate nipple reconstruction had a lower chance of needing radiotherapy and a quicker tissue expansion period than those who had delayed reconstruction.

After one year, the study found that the size and position of the reconstructed nipple were similar in both groups. However, the overall look of the breast was rated higher in the immediate reconstruction group. The study concludes that immediate nipple reconstruction at the same time as breast reconstruction can give satisfactory aesthetic results compared to delayed nipple reconstruction, but only for the right patients.

FAQs

  1. What is the difference between immediate and delayed nipple reconstruction during implant-based breast reconstruction surgeries?
  2. What were the main findings of the study conducted from September 2014 to August 2015 on nipple reconstruction?
  3. Does immediate nipple reconstruction always provide better aesthetic results than delayed reconstruction?

Doctor’s Tip

A helpful tip a doctor might tell a patient about nipple reconstruction is to discuss with their surgeon the option of having immediate nipple reconstruction during their breast reconstruction surgery. This can potentially lead to better aesthetic results and a quicker overall recovery compared to delayed reconstruction. It is important to have a thorough discussion with your surgeon about the best timing for nipple reconstruction based on your individual circumstances and treatment plan.

Suitable For

Typically, patients who are recommended for nipple reconstruction are those who have undergone mastectomy (partial or full) as part of breast cancer treatment and have opted for breast reconstruction surgery. These patients may have lost their nipples during the mastectomy and desire to have them reconstructed to complete the overall aesthetic appearance of their breasts. Nipple reconstruction is often recommended for patients who are in good overall health and have realistic expectations about the outcome of the procedure.

Timeline

Before nipple reconstruction:

  1. Initial breast reconstruction surgery using implants or tissue flap procedures
  2. Healing and recovery period following the initial surgery
  3. Consultation with a plastic surgeon to discuss the option of nipple reconstruction
  4. Decision-making process regarding timing of nipple reconstruction (immediate vs delayed)
  5. Pre-operative preparation for nipple reconstruction surgery

After nipple reconstruction:

  1. Nipple reconstruction surgery, either immediate or delayed
  2. Healing and recovery period following nipple reconstruction surgery
  3. Follow-up appointments with the plastic surgeon to monitor healing and address any concerns
  4. Potential need for additional touch-up procedures to refine the appearance of the reconstructed nipple
  5. Evaluation of final aesthetic results of the reconstructed nipple and overall breast appearance
  6. Psychological adjustment and acceptance of the new nipple appearance
  7. Ongoing care and maintenance of the reconstructed nipple, including scar management and nipple tattooing if desired.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with nipple reconstruction surgery?
  2. How long is the recovery period for nipple reconstruction surgery?
  3. Will I need to undergo multiple surgeries for nipple reconstruction?
  4. What can I expect in terms of sensation in the reconstructed nipple?
  5. Are there any restrictions or limitations on activities following nipple reconstruction surgery?
  6. How soon after nipple reconstruction surgery can I resume normal activities?
  7. Will the appearance of the reconstructed nipple change over time?
  8. What type of anesthesia will be used for the nipple reconstruction surgery?
  9. How long will the results of the nipple reconstruction surgery last?
  10. Are there any alternative options to nipple reconstruction that I should consider?

Reference

Authors: Hong KY, Kim YE, Minn KW, Jin US. Journal: Aesthetic Plast Surg. 2017 Aug;41(4):793-799. doi: 10.1007/s00266-017-0804-4. Epub 2017 Feb 15. PMID: 28204930