Our Summary

This research paper discusses a new technique for nipple reconstruction surgery. The method uses a particular type of skin flap (semilunar flap) and a specific kind of material (omega-shaped acellular dermal matrix or ADM) to create a new nipple. The researchers performed this surgery on 53 nipples and measured how well the new nipple maintained its shape and projection over time.

The results were promising - on average, the new nipples kept 95.12% of their initial projection after 3 weeks, 80.60% after 3 months, and 71.70% after 6 months. The majority of patients kept over 70% of their nipple projection 6 months after surgery, and nearly all patients (94.3%) kept more than 60%.

The researchers found that this new technique performed better than other methods that used a different material (AlloDerm®) to create the new nipple. They conclude that their method, which combines the semilunar flap and the omega-shaped ADM, could be an excellent option for nipple reconstruction.

FAQs

  1. What is the new technique for nipple reconstruction surgery mentioned in the research paper?
  2. How well did the new nipples maintain their shape and projection over time according to the research study?
  3. How does the new technique using semilunar flap and omega-shaped ADM compare to other methods in nipple reconstruction?

Doctor’s Tip

A helpful tip a doctor might give a patient about nipple reconstruction is to ask about the possibility of using the semilunar flap and omega-shaped ADM technique for a more successful outcome. This technique has shown promising results in maintaining nipple shape and projection over time, making it a potentially excellent option for nipple reconstruction. It’s important for patients to discuss all available options with their doctor to determine the best approach for their individual needs.

Suitable For

Patients who are typically recommended for nipple reconstruction surgery include those who have undergone a mastectomy or breast reconstruction surgery and wish to restore the appearance of a natural nipple. This includes patients who have had a nipple-sparing mastectomy, as well as those who have had their nipple removed as part of their breast cancer treatment. Nipple reconstruction can also be recommended for patients who have experienced trauma or injury to the nipple area.

Overall, patients who are physically and emotionally ready for nipple reconstruction surgery and have realistic expectations about the outcome are good candidates for this procedure. It is important for patients to consult with their healthcare provider to determine if nipple reconstruction is the right option for them based on their individual circumstances.

Timeline

Before nipple reconstruction surgery, a patient may have undergone a mastectomy or other breast surgery that resulted in the loss of the nipple. They may have discussed their options with their plastic surgeon and decided to proceed with nipple reconstruction to restore the appearance of their breast.

During nipple reconstruction surgery, the plastic surgeon will use a variety of techniques and materials to create a new nipple. In the case of the research paper discussed above, the surgeon used a semilunar flap and omega-shaped ADM to reconstruct the nipple.

After the surgery, the patient will have a new nipple that may initially appear swollen and have some scarring. Over time, the new nipple will gradually settle into its final shape and projection. In the case of the study, the researchers found that the new nipples maintained a high percentage of their projection over the course of 6 months, indicating good long-term outcomes for patients who undergo this particular technique.

Overall, nipple reconstruction can be an important step in the breast reconstruction process for patients who have undergone mastectomy or other breast surgeries. The technique described in the research paper offers promising results for patients seeking nipple reconstruction.

What to Ask Your Doctor

  1. How experienced are you in performing nipple reconstruction surgery using this new technique?

  2. What are the potential risks and complications associated with nipple reconstruction surgery?

  3. How long is the recovery process after nipple reconstruction surgery?

  4. Will I need to undergo multiple surgeries to achieve the desired results?

  5. How long will the results of the nipple reconstruction surgery last?

  6. Are there any specific post-operative care instructions I should follow to ensure the best outcome?

  7. Will the new nipple have sensation or will it be purely for cosmetic purposes?

  8. Are there any lifestyle changes I should make after nipple reconstruction surgery?

  9. Are there any alternative methods for nipple reconstruction that I should consider?

  10. What is the cost of nipple reconstruction surgery and will my insurance cover it?

Reference

Authors: Hwang E, Yang JY, Ha HJ, Kim CW, Lee JW. Journal: Aesthetic Plast Surg. 2022 Feb;46(1):152-160. doi: 10.1007/s00266-021-02438-6. Epub 2021 Jul 16. PMID: 34269845