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. 2013 Nov 1:13:e56.
eCollection 2013.

Areola size and jugulum nipple distance after bilateral mastectomy and breast reconstruction

Joaquín Pérez-Guisado  1 , Consuelo Rodríguez-Mérida, Luis F Rioja
Affiliations

Areola size and jugulum nipple distance after bilateral mastectomy and breast reconstruction

Joaquín Pérez-Guisado et al. Eplasty. .

Abstract

Objective: The combination of a single pedicle local flap with tattooing for complete nipple areola complex (NAC) reconstruction is currently the most supported method. Although many technical descriptions of NAC reconstruction exist in the medical literature, there are no data that define the ideal areola size (diameter of the areola) after bilateral mastectomy and breast reconstruction considering the previous areola size.

Methods: This was a 3-year (2009-2012) observational, analytical, and longitudinal prospective study with 103 patients who had undergone NAC tattooing as the last process of bilateral breast reconstruction after surgery for breast cancer. Statistical differences in the areola size and the jugulum-nipple distance before mastectomy and after reconstruction were analyzed by paired Student t tests with a 95% confidence interval.

Results: The jugulum-nipple distance before mastectomy was 4.23 cm larger than after bilateral reconstruction (mean jugulum-nipple distance: 23.89 cm vs 19.66 cm), and for that reason shorter (more cephalad). The areola size before mastectomy was 1.59 cm larger than the one chosen by the patient for reconstruction (mean diameter of the areola: 5.25 cm vs 3.65 cm).

Conclusions: We conclude that, after bilateral mastectomy and reconstruction, the jugulum-nipple distance is smaller and women prefer smaller areola sizes.

Keywords: NAC tattooing; areola; breast cancer; breast reconstruction; mastectomy; nipple.

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Figures

Figure 1
Figure 1
Circular sticky areola templates.
Figure 2
Figure 2
A: Results 3 months after nipple reconstruction; B: jugulum-nipple distances; C: Results 3 months after tattooing.
See this image and copyright information in PMC

References

    1. Wirth R, Banic A, Erni D. Aesthetic outcome and oncological safety of nipple-areola complex replantation after mastectomy and immediate breast reconstruction. J Plast Reconstr Aesthet Surg. 2010;63:1490–4. - PubMed
    1. Vendemia N, Mesbahi AN, McCarthy CM, Disa JJ. Nipple areola reconstruction. Cancer J. 2008;14:253–7. - PubMed
    1. Boccola MA, Savage J, Rozen WM, Ashton MW, Milner C, Rahdon R, Whitaker IS. Surgical correction and reconstruction of the nipple-areola complex: current review of techniques. J Reconstr Microsurg. 2010;26:589–600. - PubMed
    1. Fitoussi AD, Pollet AG, Couturaud B, Laki F, Salmon RJ. Nipple and areola reconstruction by tattooing, “F” and “Z” flaps. Ann Chir Plast Esthet. 2008;53:348–57. - PubMed
    1. Potter S, Barker J, Willoughby L, Perrott E, Cawthorn SJ, Sahu AK. Patient satisfaction and time-saving implications of a nurse-led nipple and areola reconstitution service following breast reconstruction. Breast. 2007;16:293–6. - PubMed

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