Modified technique for nipple-areolar reconstruction: a case series.

Abstract:

SUMMARY:Thousands of women undergo postmastectomy breast reconstruction each year. Part of the reconstruction of an aesthetically pleasing breast is a high-quality nipple-areolar reconstruction. The goals for this reconstruction include appropriate nipple projection, areolar color, and areolar texture. Presented in this article is a novel technique that achieves these goals without the need for harvesting a distant skin graft. The nipple-areolar reconstruction is performed under local anesthesia. A skate flap is designed to achieve the nipple reconstruction. The skate flap donor sites are closed primarily, and the outline of the areola is then defined with a round template. The skin is then incised at the border of the areola, and a full-thickness graft is elevated to the base of the reconstructed nipple. After hemostasis is achieved, the skin graft is placed back down in its original position and a bolster dressing is applied. Tattooing is performed 4 months postoperatively to achieve a color match. Twenty-four consecutive patients underwent 31 nipple-areolar reconstructions using this novel technique. All patients achieved excellent results without complications. One patient did experience a partial skate flap loss; however, the wound healed secondarily without the need for revision. The technique described herein can achieve the goals of nipple-areolar reconstruction, including appropriate nipple projection, areolar color, and areolar texture, without the need for a distant skin graft.

journal_name

Plast Reconstr Surg

authors

Bogue DP,Mungara AK,Thompson M,Cederna PS

doi

10.1097/01.PRS.0000080712.05477.DB

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

1274-8

issue

5

eissn

0032-1052

issn

1529-4242

journal_volume

112

pub_type

杂志文章
  • Pharmacokinetics of topical and intravenous cefazolin in patients with clean surgical wounds.

    abstract:BACKGROUND:Surgical-site infection is a common postoperative nosocomial infection. Surgeons frequently treat operative patients with protective antibiotics and often choose cefazolin as the drug. Treatment schemes include both preoperative intravenous dosing and intraoperative dosing by irrigation. This study was desig...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PRS.0b013e31818d5899

    authors: White RR 4th,Pitzer KD,Fader RC,Rajab MH,Song J

    更新日期:2008-12-01 00:00:00

  • Impact of hypertonic and hyperoncotic saline solutions on ischemia-reperfusion injury in free flaps.

    abstract:BACKGROUND:The purpose of this study was to evaluate the influence of hypertonic and hyperoncotic saline solutions on ischemia-reperfusion injury after free tissue transfer. METHODS:Twenty-eight Sprague-Dawley rats were used to design an inferior epigastric flap. After skin incision, microcirculation was investigated ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31817743a1

    authors: Scholz T,Evans GRD

    更新日期:2008-07-01 00:00:00

  • Osseointegrated alloplastic versus autogenous ear reconstruction: criteria for treatment selection.

    abstract::Fifty-five patients with major ear deformities were reconstructed during the period 1982-1993 with autogenous tissue. Fourteen patients were reconstructed with osseointegrated auricular prostheses during the period 1989-1993. Both procedures were done at the same institution by the same surgeon. The advantages and dis...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199404001-00011

    authors: Wilkes GH,Wolfaardt JF

    更新日期:1994-04-01 00:00:00

  • The increasing incidence of melanoma.

    abstract::A study of our hospital records has confirmed a striking increase in the number of melanoma cases. An examination of the New York State statistics demonstrates a 202 percent increase in the case rate from 1950 to 1971. The Connecticut statistics extending from 1935 to 1972 show an age-adjusted incidence rate increase ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197601000-00010

    authors: Cosman B,Heddle SB,Crikelair GF

    更新日期:1976-01-01 00:00:00

  • Hair-bearing neck flap for upper-lip reconstruction in the male.

    abstract::Reconstruction of the upper lip resulting in a hair-bearing area and a non-hair-bearing lining is described in two cases of full-thickness lip defects. A unipedicled neck flap was used in one case and a bipedicled neck flap in the other, both comprised of hair-bearing and adjacent non-hair-bearing areas. The neck flap...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198302000-00025

    authors: Tsur H,Shafir R,Orenstein A

    更新日期:1983-02-01 00:00:00

  • Improved malar projection with transconjunctival hydroxyapatite granules.

    abstract:BACKGROUND:Augmentation of the zygomatic body enhances appearance and provides a more youthful look. Porous hydroxyapatite granules offer an alternative to alloplastic implants. METHODS:Hydroxyapatite granules were placed by means of a transconjunctival approach into subperiosteal malar pockets (n = 8). From the preop...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000218867.26061.21

    authors: O'Hara KL,Urrego AF,Garri JI,O'Hara CM,Bradley JP,Kawamoto HK

    更新日期:2006-05-01 00:00:00

  • Platelet-Rich Plasma: Evolving Role in Plastic Surgery.

    abstract:BACKGROUND:The use of platelet-rich plasma has emerged as one of the most desired nonsurgical treatments for facial rejuvenation and hair restoration. It has grown to encompass a wide variety of applications within the field of plastic surgery, including its use in combination with microneedling, laser, and fat-graftin...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000007509

    authors: Chamata ES,Bartlett EL,Weir D,Rohrich RJ

    更新日期:2021-01-01 00:00:00

  • The brachioradialis forearm flap: anatomy and clinical application.

    abstract::The blood supply to the brachioradialis muscle and the skin of the forearm was studied in latex-injected arms. The dominant perforator to the muscle arose from the brachial artery (27.3 percent), radial recurrent artery (33.3 percent), or radial artery (39.4 percent). In all cases, adequate perforators exist from the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199410000-00015

    authors: Sanger JR,Ye Z,Yousif NJ,Matloub HS

    更新日期:1994-10-01 00:00:00

  • Reconstructed mandibular defects: fibula free flaps and osseointegrated implants.

    abstract::Twenty patients with microvascular fibula flap reconstruction of oromandibular defects were selected for implant-retained prosthodontic rehabilitation. A total of 71 osseointegrated implants were placed within the grafted fibulas. Four patients had immediate implant placement at the time of their reconstructive surger...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/00006534-199702000-00008

    authors: Roumanas ED,Markowitz BL,Lorant JA,Calcaterra TC,Jones NF,Beumer J 3rd

    更新日期:1997-02-01 00:00:00

  • An examination of the phenol-croton oil peel: part IV. Face peel results with different concentrations of phenol and croton oil.

    abstract::In Part IV of this examination of the phenol-croton oil peel, the author presents peeling solutions using phenol in concentrations between 16% and 50% as the carrier for croton oil. Previously, in Part I, the author showed that phenol alone in concentrations of less than 50% has no significant peeling effect on the sk...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200003000-00035

    authors: Hetter GP

    更新日期:2000-03-01 00:00:00

  • Pediatric feeding disorder and growth decline following mandibular distraction osteogenesis.

    abstract:BACKGROUND:Mandibular distraction osteogenesis has proven to be an effective treatment for upper airway obstruction related to micrognathia. Changes in the aerodigestive space can help facilitate tracheostomy removal in children and prevent tracheostomy in newborns. However, this may also precipitate changes in the abi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000227740.48021.c3

    authors: Spring MA,Mount DL

    更新日期:2006-08-01 00:00:00

  • Repeated exposure to silicone gel can induce delayed hypersensitivity.

    abstract::The possible immunologic reactivity of silicone gel remains speculative and controversial. In this laboratory, a quantitative lymphocyte localization assay has been developed and well studied using pure lymphocytes collected by the technique of lymph vessel cannulation in sheep. The kinetics of antigen-specific immune...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199508000-00016

    authors: Narini PP,Semple JL,Hay JB

    更新日期:1995-08-01 00:00:00

  • Quantitative evaluation of volume augmentation in the tear trough with a hyaluronic Acid-based filler: a three-dimensional analysis.

    abstract:BACKGROUND:Despite the prevalent use of hyaluronic acid-based filling materials for facial soft-tissue augmentation and favorable reports of durability in the infraorbital region, no quantitative data exist on the long-term durability of these products following injection. This study represents the first attempt to use...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181d70317

    authors: Donath AS,Glasgold RA,Meier J,Glasgold MJ

    更新日期:2010-05-01 00:00:00

  • Outcomes of hand reconstruction in obstetric brachial plexus palsy.

    abstract:BACKGROUND:In children with global obstetric brachial plexus palsy, prioritization should be first focused on hand reinnervation and then directed to shoulder and elbow function. In this study, the surgical strategy for restoration of hand function and the methods and outcomes are analyzed. METHODS:Between 1979 and 20...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31817d6139

    authors: Terzis JK,Kokkalis ZT

    更新日期:2008-08-01 00:00:00

  • Breast pathology and reduction mammaplasty.

    abstract::Breast cancer is the tumor with the highest prevalence and incidence in women. Reduction mammaplasty is one of the most common procedures performed in Brazil by the plastic surgeon, and it is not uncommon for the surgeon to find a breast tumor during the operation or afterward, when the histopathological report is rec...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000152683.62899.50

    authors: Pitanguy I,Torres E,Salgado F,Pires Viana GA

    更新日期:2005-03-01 00:00:00

  • Significance of shoulder function in the reconstruction of prehension with double free-muscle transfer after complete paralysis of the brachial plexus.

    abstract::Reconstruction of shoulder stability and movement in cases with complete paralysis of the brachial plexus was performed to improve the outcomes for universal function of prehension after double free-muscle transfer (Doi's procedure). In cases in which the C5 or C6 nerve root was available as a donor, neurotization of ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000085820.24572.EE

    authors: Doi K,Hattori Y,Ikeda K,Dhawan V

    更新日期:2003-11-01 00:00:00

  • Single-stage management of 74 consecutive sternal wound complications with pectoralis major myocutaneous advancement flaps.

    abstract::The optimal management of sternal wound complications remains controversial. Since 1985, we have utilized a combination of immediate, aggressive debridement with simultaneous repair using bilateral pectoralis major myocutaneous advancement flaps, regardless of the degree of infection. As compared with the use of dista...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199406000-00016

    authors: Hugo NE,Sultan MR,Ascherman JA,Patsis MC,Smith CR,Rose EA

    更新日期:1994-06-01 00:00:00

  • Reverse dorsal digital island flap.

    abstract::The anatomic and clinical bases for a reliable and versatile homodigital flap for covering difficult distal dorsal and dorsolateral wounds of the long fingers are presented. This one-step procedure, which uses the dorsal skin of the first or second phalanx transposed as a reverse island flap, preserving the collateral...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Bene MD,Petrolati M,Raimondi P,Tremolada C,Muset A

    更新日期:1994-03-01 00:00:00

  • The "crown" excision of facial skin lesions.

    abstract::We present a method for local excision of facial skin lesions adjacent to the esthetic boundaries of the face. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197602000-00031

    authors: Robbins TH

    更新日期:1976-02-01 00:00:00

  • Avulsion Thighplasty: Technique Overview and 6-Year Experience.

    abstract:UNLABELLED:When choosing a thigh lift operation, the surgeon also chooses which complications he/she will be managing, and the most dreaded after conventional thigh lifting are those of lymphatic origin such as lymphocele or lymphedema. The authors describe avulsion thighplasty, a technique that spares lymphatics by us...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001936

    authors: Hunstad JP,Kortesis BG,Knotts CD

    更新日期:2016-01-01 00:00:00

  • Health-related quality-of-life assessment and surgical outcomes for auricular reconstruction using autologous costal cartilage.

    abstract:BACKGROUND:This study aims to assess the health-related quality-of-life benefit following auricular reconstruction using autologous costal cartilage in children. In addition, key aspects of the surgical reconstruction are assessed. METHODS:After auricular reconstruction, patients completed two questionnaires. The firs...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182402ca7

    authors: Soukup B,Mashhadi SA,Bulstrode NW

    更新日期:2012-03-01 00:00:00

  • Superficial musculoaponeurotic system suspension and buccinator plication for facial nerve paralysis.

    abstract::This case demonstrates the use of the superficial musculoaponeurotic system for suspension in facial nerve paralysis. This approach allows access to the buccinator, which is plicated to the masseteric fascia to reduce intraoral redundancy. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Balch CR

    更新日期:1980-11-01 00:00:00

  • Pitfalls of nonstandardized photography in facial plastic surgery patients.

    abstract::The authors tested the hypothesis that certain maneuvers (neck flexion/extension and head protrusion/retrusion) alter the appearance of the submental area, jawline, and melolabial groove. They used a questionnaire survey of 20 naïve judges who assessed a standardized photograph album of three subjects. The subjects' f...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000127791.31526.e2

    authors: Sommer DD,Mendelsohn M

    更新日期:2004-07-01 00:00:00

  • Ernst Blasius's contributions to plastic surgery.

    abstract::Blasius was a famous teacher and surgeon. Apart from his own writings on surgery and his new methods for reconstructions, such as the replacement of nose, lips, and eyelids, some theses were also inspired by him. His main work is his three-volume Handbuch der Akiurgie, to which he added an excellent atlas, from which ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1097/00006534-198410000-00020

    authors: Hauben DJ

    更新日期:1984-10-01 00:00:00

  • Congenital skin tube pedicle associated with the constriction band syndrome.

    abstract::A very rare case of congenital skin tube pedicle with congenital constriction band syndrome was presented. Only one report concerning this bizarre abnormality could be found in the available literature, and no consideration of its etiology has previously been published. In our case, the skin tube was accompanied by th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199204000-00029

    authors: Nakamura K,Nanjyo B

    更新日期:1992-04-01 00:00:00

  • Use of the spring graft for prevention of midvault complications in rhinoplasty.

    abstract:BACKGROUND:Preservation of the middle nasal vault has increasingly become a topic of interest and concern in rhinoplasty. Resection of even a minute amount of roof during hump removal disturbs the stabilizing effect of the upper lateral cartilages, which then causes a fall of upper lateral cartilages medially toward th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000244904.07248.ce

    authors: Sen C,Iscen D

    更新日期:2007-01-01 00:00:00

  • Surgical treatment of migraine headaches by corrugator muscle resection.

    abstract::The authors, a plastic surgeon (Dirnberger) and a neurologist (Becker), conducted this study after reading the article by of Bahman Guyuron et al. in the August 2000 issue of Plastic and Reconstructive Surgery (106: 429, 2000). Sixty patients were operated on between June of 2001 and June of 2002; postoperative follow...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000131906.27281.17

    authors: Dirnberger F,Becker K

    更新日期:2004-09-01 00:00:00

  • Determining the Oncologic Safety of Autologous Fat Grafting as a Reconstructive Modality: An Institutional Review of Breast Cancer Recurrence Rates and Surgical Outcomes.

    abstract:BACKGROUND:The increasing use of autologous fat grafting in breast cancer patients has raised concerns regarding its oncologic safety. This study evaluated patient outcomes and tumor recurrence following mastectomy reconstruction and autologous fat grafting. METHODS:Retrospective chart review identified patients who u...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003576

    authors: Cohen O,Lam G,Karp N,Choi M

    更新日期:2017-09-01 00:00:00

  • Minimizing the pain of local anesthesia injection.

    abstract:BACKGROUND:Local anesthetic injection is often cited in literature as the most painful part of minor procedures. It is also very possible for all doctors to get better at giving local anesthesia with less pain for patients. The purpose of this article is to illustrate and simplify how to inject local anesthesia in an a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e31829ad1e2

    authors: Strazar AR,Leynes PG,Lalonde DH

    更新日期:2013-09-01 00:00:00

  • A reliable method for monitoring the microvascular patency of free jejunal transfers in reconstructing the pharynx and cervical esophagus.

    abstract::Reconstruction of the pharynx and esophagus with revascularized segments of jejunum remains a time-proven entity. Most thromboses and subsequent flap failures have occurred within the first 24 hours after revascularization of the flap. What would therefore be desirable is a safe, proven monitoring system to assess the...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198905000-00024

    authors: Bafitis H,Stallings JO,Ban J

    更新日期:1989-05-01 00:00:00