Our Summary

This research paper discusses a method of rebuilding nipples in patients who’ve had implant-based breast reconstruction after radiotherapy for breast cancer. Traditional methods of nipple reconstruction can lead to problems like exposing the implant, which might then have to be removed. The authors describe a new technique that uses a flap of skin (dermal flap) for nipple reconstruction and assess its success rate.

The study looked at 47 patients who had this type of nipple reconstruction between 2012 and 2015. The patients’ ages ranged from 27 to 78, and the time between their radiotherapy and nipple reconstruction ranged from about 5 months to almost 23 years. The patients were followed up for between 6 months to almost 4 years.

The results showed that none of the implants were exposed. There were some complications like partial loss of the nipple flap and one infection, but the overall rate of complications was fairly low at 6.1%. The nipples created with this method were quite small (2 to 5 mm) after 6 months, but they stayed the same size after that.

The authors concluded that their method of using a dermal flap for nipple reconstruction is safe and a good alternative to other methods for patients who’ve had radiotherapy and implant-based breast reconstruction.

FAQs

  1. What is the new method of nipple reconstruction discussed in the study?
  2. What were the results of the study on the new nipple reconstruction method?
  3. What is the success rate of the new nipple reconstruction method using a dermal flap?

Doctor’s Tip

A doctor might suggest to a patient considering nipple reconstruction to discuss with their surgeon the option of using a dermal flap technique, as it has shown to be safe and effective in preventing complications like exposure of the implant. It is important for patients to understand the potential risks and benefits of different reconstruction methods in order to make an informed decision about their treatment.

Suitable For

Patients who have had implant-based breast reconstruction after radiotherapy for breast cancer are typically recommended nipple reconstruction. This is because traditional methods of nipple reconstruction can lead to complications such as exposing the implant, which may require removal. The new technique described in the research paper using a dermal flap for nipple reconstruction is specifically recommended for these patients as it has shown to be successful with a low rate of complications.

Timeline

Before nipple reconstruction, patients typically undergo mastectomy and implant-based breast reconstruction. Some patients may also undergo radiotherapy for breast cancer treatment. After these procedures, patients may have flat or scarred nipples, leading them to seek nipple reconstruction.

During nipple reconstruction, the new nipple is created using a dermal flap technique, which involves using a flap of skin to rebuild the nipple. This method is chosen to reduce the risk of complications such as implant exposure.

Following the nipple reconstruction surgery, patients are monitored for complications and follow-up appointments are scheduled. The new nipples created with the dermal flap technique are small initially, but maintain their size over time.

Overall, the study found that the dermal flap technique for nipple reconstruction was successful in preventing implant exposure and had a low rate of complications. The authors concluded that this method is a safe and effective option for patients who have had radiotherapy and implant-based breast reconstruction.

What to Ask Your Doctor

Some questions a patient should ask their doctor about nipple reconstruction using a dermal flap technique may include:

  1. What are the potential risks and complications associated with this method of nipple reconstruction?
  2. How long is the recovery period after nipple reconstruction using a dermal flap?
  3. Will I need to undergo any additional procedures or treatments following nipple reconstruction?
  4. How soon after my breast reconstruction surgery can I have nipple reconstruction using a dermal flap?
  5. What are the expected results in terms of nipple size and appearance with this technique?
  6. Will I need to undergo any special care or follow-up appointments after nipple reconstruction?
  7. Are there any specific factors, such as previous surgeries or medical conditions, that may affect the success of nipple reconstruction using a dermal flap?
  8. How does this method compare to other nipple reconstruction techniques in terms of success rates and patient satisfaction?
  9. Can you provide me with before and after photos of patients who have undergone nipple reconstruction using a dermal flap?
  10. Are there any limitations or contraindications for using a dermal flap for nipple reconstruction in my specific case?

Reference

Authors: Rem K, Al Hindi A, Sorin T, Ozil C, Revol M, Mazouz Dorval S. Journal: J Plast Reconstr Aesthet Surg. 2016 May;69(5):617-22. doi: 10.1016/j.bjps.2015.12.022. Epub 2016 Jan 9. PMID: 26810406