The reconstruction of areola and nipple is the final step in post-mastectomy reconstruction. Several techniques have been used in the course of the years with the aim of attaining good symmetry, colour, size and projection. In this paper we analyse the techniques currently in use: grafting from the contralateral nipple and areola or the combination of local flaps and tattoing. Seventy-three patients have undergone reconstruction of the areola and nipple in our Department between February 1991 and February 1993. Of these, 52 (72%) had grafting from the contralateral areola and nipple while 21 had tattoing together with local flaps. We noted that grafting from the contralateral areola nipple yields the best cosmetic results. We therefore consider it the method of first choice. Whenever this is not possible (small size, patient's wish, etc.), we use a combination of tattoing and local flaps.
|Translated title of the contribution||Reconstruction of areola and nipple: Local flaps and tattoing vs free grafts|
|Number of pages||5|
|Journal||Rivista Italiana di Chirurgia Plastica|
|Publication status||Published - 1994|
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