Innovations in Nipple-areolar Complex Reconstruction: Evaluation of a New Prosthesis

Background:. The reconstruction of the nipple-areola complex (NAC) is a crucial step for completing breast restoration with patient satisfaction. Surgical reconstruction or tattooing of the NAC may not be preferable or feasible for some patients. There is no universal method for NAC that is ideal fo...

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Main Authors: Michele Riccio, MD, Angelica Aquinati, MD, Mario Fordellone, PhD, Nicola Carboni, MD, Andrea Marchesini, MD, Francesco De Francesco, MD, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2025-01-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006410
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author Michele Riccio, MD
Angelica Aquinati, MD
Mario Fordellone, PhD
Nicola Carboni, MD
Andrea Marchesini, MD
Francesco De Francesco, MD, PhD
author_facet Michele Riccio, MD
Angelica Aquinati, MD
Mario Fordellone, PhD
Nicola Carboni, MD
Andrea Marchesini, MD
Francesco De Francesco, MD, PhD
author_sort Michele Riccio, MD
collection DOAJ
description Background:. The reconstruction of the nipple-areola complex (NAC) is a crucial step for completing breast restoration with patient satisfaction. Surgical reconstruction or tattooing of the NAC may not be preferable or feasible for some patients. There is no universal method for NAC that is ideal for every patient or clinical situation. Various approaches often do not maintain projection over time. Over time, several techniques have been perfected, including the C-V flap, to improve and support projection for patients with bilateral implant-based reconstructions. Methods:. We used, for the first time, prosthetic devices for NAC reconstruction and examined the safety of these devices associated with ease of implantation and patient satisfaction levels using a survey conducted during a 1-year follow-up. We enrolled 20 individuals who opted for these NAC prostheses following unilateral or bilateral breast reconstruction and following NAC excision. Results:. Ninety percent of the participants expressed satisfaction or high satisfaction with the appearance and balance of the new NAC. The prosthetics enhanced the overall body self-image and self-regard of all the study participants. Except for 4 patients, there were no reports of skin adverse reactions, infections, or erosion. Conclusions:. Encouraged by these auspicious outcomes that indicate a significant rate of safety and satisfaction, we believe that this straightforward, noninvasive, affordable medical device deserves consideration as a reconstructive option for all patients seeking breast reconstruction, promoting full body integrity.
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spelling doaj-art-985f6f18b4d04698b5ae428d5ff369f02025-01-24T09:19:58ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-01-01131e641010.1097/GOX.0000000000006410202501000-00007Innovations in Nipple-areolar Complex Reconstruction: Evaluation of a New ProsthesisMichele Riccio, MD0Angelica Aquinati, MD1Mario Fordellone, PhD2Nicola Carboni, MD3Andrea Marchesini, MD4Francesco De Francesco, MD, PhD5From the * Department of Reconstructive Surgery and Hand Surgery, Azienda Ospedaliera Universitaria delle Marche, Ancona, ItalyFrom the * Department of Reconstructive Surgery and Hand Surgery, Azienda Ospedaliera Universitaria delle Marche, Ancona, Italy† Department of Mental, Phisical Health and Preventive Medicine Campania University L. Vanvitelli, Napoli, Italy‡ Department of Radiological Sciences, Azienda Ospedaliera Universitaria delle Marche, Ancona, Italy.From the * Department of Reconstructive Surgery and Hand Surgery, Azienda Ospedaliera Universitaria delle Marche, Ancona, ItalyFrom the * Department of Reconstructive Surgery and Hand Surgery, Azienda Ospedaliera Universitaria delle Marche, Ancona, ItalyBackground:. The reconstruction of the nipple-areola complex (NAC) is a crucial step for completing breast restoration with patient satisfaction. Surgical reconstruction or tattooing of the NAC may not be preferable or feasible for some patients. There is no universal method for NAC that is ideal for every patient or clinical situation. Various approaches often do not maintain projection over time. Over time, several techniques have been perfected, including the C-V flap, to improve and support projection for patients with bilateral implant-based reconstructions. Methods:. We used, for the first time, prosthetic devices for NAC reconstruction and examined the safety of these devices associated with ease of implantation and patient satisfaction levels using a survey conducted during a 1-year follow-up. We enrolled 20 individuals who opted for these NAC prostheses following unilateral or bilateral breast reconstruction and following NAC excision. Results:. Ninety percent of the participants expressed satisfaction or high satisfaction with the appearance and balance of the new NAC. The prosthetics enhanced the overall body self-image and self-regard of all the study participants. Except for 4 patients, there were no reports of skin adverse reactions, infections, or erosion. Conclusions:. Encouraged by these auspicious outcomes that indicate a significant rate of safety and satisfaction, we believe that this straightforward, noninvasive, affordable medical device deserves consideration as a reconstructive option for all patients seeking breast reconstruction, promoting full body integrity.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006410
spellingShingle Michele Riccio, MD
Angelica Aquinati, MD
Mario Fordellone, PhD
Nicola Carboni, MD
Andrea Marchesini, MD
Francesco De Francesco, MD, PhD
Innovations in Nipple-areolar Complex Reconstruction: Evaluation of a New Prosthesis
Plastic and Reconstructive Surgery, Global Open
title Innovations in Nipple-areolar Complex Reconstruction: Evaluation of a New Prosthesis
title_full Innovations in Nipple-areolar Complex Reconstruction: Evaluation of a New Prosthesis
title_fullStr Innovations in Nipple-areolar Complex Reconstruction: Evaluation of a New Prosthesis
title_full_unstemmed Innovations in Nipple-areolar Complex Reconstruction: Evaluation of a New Prosthesis
title_short Innovations in Nipple-areolar Complex Reconstruction: Evaluation of a New Prosthesis
title_sort innovations in nipple areolar complex reconstruction evaluation of a new prosthesis
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006410
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