Our Summary

This study looked at the results of nipple reconstruction surgery in women who had previously undergone a mastectomy (breast removal) due to breast cancer. The aim was to see how the reconstructed nipples compared in size and sensitivity to the patient’s remaining natural nipple. They studied two types of reconstruction, one using a tissue expander and another using a flap of the patient’s own skin.

They used a special 3D laser scanner to accurately measure the size and shape of the reconstructed nipples and also tested their sensitivity. They found that, on average, the reconstructed nipples were only about half as large as the natural ones. Despite this, the patients were generally satisfied with the results.

The study also found that there was no significant difference in results between the two types of reconstruction, but the nipples reconstructed with the tissue expander were slightly more sensitive.

FAQs

  1. What was the main aim of this study on nipple reconstruction surgery?
  2. What methods were used to measure the size and sensitivity of the reconstructed nipples?
  3. Was there a significant difference in results between the two types of nipple reconstruction methods used in the study?

Doctor’s Tip

A helpful tip a doctor might give a patient about nipple reconstruction is to manage their expectations regarding the size and sensitivity of the reconstructed nipple compared to their natural one. It is important for patients to understand that the reconstructed nipple may not be exactly the same size or have the same level of sensitivity as their natural nipple. However, the goal of the surgery is to create a natural-looking and feeling nipple that can enhance the appearance of the breast. Patients should also be aware that there are different techniques for nipple reconstruction, and they should discuss with their surgeon which option may be best for them based on their individual needs and preferences. Additionally, patients should follow their doctor’s post-operative care instructions to ensure proper healing and optimal results.

Suitable For

Patients who have undergone a mastectomy and are looking to restore the appearance of their breasts may be recommended nipple reconstruction. This surgery is typically recommended for patients who have completed their breast cancer treatment and are interested in improving the aesthetic outcome of their mastectomy. It is important for patients to have realistic expectations about the results of the surgery and to understand that the reconstructed nipple may not be identical to their natural nipple in terms of size and sensitivity.

Timeline

Before nipple reconstruction:

  1. Patient undergoes mastectomy due to breast cancer.
  2. Patient heals from mastectomy surgery.
  3. Patient discusses options for nipple reconstruction with their plastic surgeon.
  4. Patient decides on a method of reconstruction (tissue expander or skin flap).
  5. Surgery is scheduled for nipple reconstruction.

After nipple reconstruction:

  1. Surgery is performed to reconstruct the nipples.
  2. Patient goes through a recovery period following surgery.
  3. Nipples heal and start to take shape.
  4. Patient may experience changes in nipple sensitivity.
  5. Patient returns for follow-up appointments with the plastic surgeon to monitor healing and discuss results.
  6. Results are evaluated using 3D laser scanning to measure size and sensitivity of the reconstructed nipples.
  7. Patient expresses satisfaction with the results of the reconstruction surgery.

What to Ask Your Doctor

  1. What are the different options for nipple reconstruction surgery?
  2. How long does the nipple reconstruction surgery typically take?
  3. What is the recovery process like after nipple reconstruction surgery?
  4. Will there be scarring after the surgery, and if so, how noticeable will it be?
  5. What can I expect in terms of nipple size and sensitivity after the reconstruction?
  6. Are there any potential complications or risks associated with nipple reconstruction surgery?
  7. How soon after a mastectomy can nipple reconstruction surgery be performed?
  8. Will I need to undergo additional surgeries or touch-ups in the future?
  9. How should I care for my reconstructed nipples post-surgery?
  10. Can I see before and after photos of previous patients who have undergone nipple reconstruction surgery?

Reference

Authors: Tremp M, di Summa PG, Schaakxs D, Oranges CM, Wettstein R, Kalbermatten DF. Journal: Aesthet Surg J. 2017 Feb;37(2):179-187. doi: 10.1093/asj/sjw181. Epub 2016 Dec 16. PMID: 27986753