One-Stage Nipple and Breast Reconstruction Following Areola-Sparing Mastectomy

One-Stage Nipple and Breast Reconstruction Following Areola-Sparing Mastectomy

Blog Article

BackgroundSkin-sparing mastectomy with immediate WILLOW breast reconstruction is increasingly becoming a proven surgical option for early-stage breast cancer patients.Areola-sparing mastectomy (ASM) has also recently become a popular procedure.The purpose of this article is to investigate the reconstructive and aesthetic issues experienced with one-stage nipple and breast reconstruction using ASM.

MethodsAmong the patients who underwent mastectomy between March 2008 and March 2010, 5 women with a low probability of nipple-areolar complex malignant involvement underwent ASM and immediate breast reconstruction with simultaneous nipple reconstruction using the modified C-V flap.The cosmetic outcomes of this series were reviewed by plastic surgeons and patient self-assessment and satisfaction were assessed via telephone interview.ResultsDuring the average 11-month follow-up period, there were no cases of cancer recurrence, the aesthetic outcomes were graded as excellent to very good, and all of the patients were satisfied.

Two patients developed a gutter-like depression around the reconstructed nipple, and one patient developed skin erosion in a small area of the areola, which healed with conservative dressing.The other complications, such as necrosis of the skin flap or areola, seroma, hematoma, or fat necrosis did not occur.ConclusionsSince one-stage nipple and breast reconstruction following ASM is an oncologically safe, cost-effective, K2 and aesthetically satisfactory procedure, it is a good surgical option for early breast cancer patients.