Our Summary

This research paper investigates how two different types of breast reconstruction surgery, following a mastectomy where the nipples are preserved, might affect the symmetry of the nipples. The study looked at 68 patients who underwent either a tissue expander (TE) surgery or a direct-to-implant (DTI) surgery, which could either be prepectoral (in front of the chest muscle) or submuscular (behind the chest muscle). The results showed that patients who had the TE procedure had larger breasts and more asymmetry between their nipples before the surgery than those who had the DTI procedure. However, the TE procedure only resulted in a slight increase in nipple asymmetry. On the other hand, the DTI procedure, in either implant location, led to a more noticeable increase in nipple asymmetry after surgery, particularly for the prepectoral group. The study also found that radiation therapy significantly affected nipple symmetry.

FAQs

  1. What are the two types of breast reconstruction surgery studied in the research?
  2. How does the type of breast reconstruction surgery affect nipple symmetry?
  3. How does radiation therapy impact nipple symmetry following breast reconstruction surgery?

Doctor’s Tip

One helpful tip a doctor might give a patient about nipple reconstruction is to discuss the potential impact of different types of breast reconstruction surgery on nipple symmetry. It is important to consider factors such as the type of surgery (TE vs. DTI), implant location (prepectoral vs. submuscular), and whether or not radiation therapy will be involved. This information can help patients make informed decisions about their nipple reconstruction procedure and manage their expectations for post-operative results. Additionally, patients should follow their doctor’s post-operative care instructions closely to optimize healing and achieve the best possible outcome.

Suitable For

Patients who have undergone a mastectomy and wish to have nipple reconstruction are typically recommended for the procedure. This may include patients who have had a mastectomy for breast cancer treatment or for preventive reasons due to a high risk of developing breast cancer. Nipple reconstruction can help restore a sense of normalcy and femininity for these patients after undergoing such a significant surgery.

Additionally, patients who have undergone breast reconstruction surgery, such as with tissue expanders or implants, may also be recommended for nipple reconstruction to complete the overall aesthetic appearance of the breasts. Nipple reconstruction can help improve the symmetry and balance of the breasts, especially for patients who have undergone unilateral reconstruction or have experienced changes in nipple shape or size due to previous surgeries.

Overall, patients who desire to enhance the appearance of their breasts and achieve a more natural and balanced look following mastectomy or breast reconstruction surgery may benefit from nipple reconstruction. It is important for patients to consult with their healthcare provider to determine if they are suitable candidates for the procedure based on their individual medical history and treatment goals.

Timeline

Before nipple reconstruction surgery, a patient typically undergoes a mastectomy to remove the breast tissue. Depending on the type of surgery, the patient may have their nipples preserved or removed during the mastectomy.

After the mastectomy, the patient may choose to undergo nipple reconstruction surgery to recreate the appearance of their nipples. This procedure can be done using various techniques, including tattooing, skin grafting, or using tissue from other parts of the body.

After the nipple reconstruction surgery, the patient will have a recovery period where they may experience some discomfort, swelling, and bruising. It may take several weeks for the nipples to fully heal and for the final results to be visible.

Overall, the timeline for nipple reconstruction surgery can vary depending on the individual patient and the specific technique used. It is important for patients to discuss their options with their healthcare provider and to have realistic expectations about the outcome of the surgery.

What to Ask Your Doctor

  1. What are the different options for nipple reconstruction after a mastectomy?

  2. How will the type of breast reconstruction surgery I choose affect the symmetry of my nipples?

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

  4. How long is the recovery period for nipple reconstruction surgery?

  5. Will I need additional surgeries or touch-ups to achieve the desired nipple symmetry?

  6. How soon after my mastectomy can I undergo nipple reconstruction surgery?

  7. Will I be able to choose the size and shape of my reconstructed nipples?

  8. What kind of scarring can I expect from nipple reconstruction surgery?

  9. How will radiation therapy, if I require it, affect the results of my nipple reconstruction surgery?

  10. Can you provide me with before and after photos of patients who have undergone nipple reconstruction surgery?

Reference

Authors: Mercury O, Nores GG, Carlson GW. Journal: Ann Plast Surg. 2022 Jun 1;88(5 Suppl 5):S422-S426. doi: 10.1097/SAP.0000000000003162. PMID: 35690937