Immediate nipple reconstruction in combination with implant reconstruction using dermal sling

George Filobbos; Nathan Hamnett; Joseph Hardwicke; Joanna Skillman

doi:10.1111/tbj.12904

Immediate nipple reconstruction in combination with implant reconstruction using dermal sling

The Breast Journal ◽

10.1111/tbj.12904 ◽

2017 ◽

Vol 23 (6) ◽

pp. 723-725 ◽

Cited By ~ 5

Author(s):

George Filobbos ◽

Nathan Hamnett ◽

Joseph Hardwicke ◽

Joanna Skillman

Keyword(s):

Nipple Reconstruction ◽

Implant Reconstruction ◽

Dermal Sling

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P043. Skin sparing mastectomy with immediate dermal sling implant reconstruction: an assessment of outcomes and patient satisfaction

European Journal of Surgical Oncology ◽

10.1016/j.ejso.2019.01.065 ◽

2019 ◽

Vol 45 (5) ◽

pp. 897

Author(s):

Frederick Hartley ◽

Samantha Muktar ◽

Wail Al-Sarakbi ◽

Sarah Madigan ◽

Sarah Horn

Keyword(s):

Patient Satisfaction ◽

Implant Reconstruction ◽

Dermal Sling

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A modified technique for nipple-areola complex reconstruction

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-1699483 ◽

2011 ◽

Vol 44 (01) ◽

pp. 076-080

Author(s):

Shoeib A. Mohamed ◽

Peir Camillo Parodi

Keyword(s):

Patient Satisfaction ◽

Nipple Reconstruction ◽

Modified Technique ◽

Composite Grafts ◽

Areola Complex ◽

Classical Technique ◽

Minimal Complication ◽

Implant Reconstruction ◽

Reconstructed Breast

ABSTRACT Background: From a historical perspective, many techniques of nipple reconstruction have been performed, including a graft from the contralateral nipple, composite grafts such as toe pulp or earlobe tissue and even an intra-dermal tattoo alone. This is the final stage of breast reconstruction, and is carried out only when the surgeon is confident that acceptable symmetry and shape of the reconstructed breast has been achieved. The technical challenges of nipple reconstruction include correcting position, maintaining adequate projection and creating an inconspicuous scar. An alternative to a surgically reconstructed nipple is the use of silicone prosthetic nipples. Materials and Methods: From August 2006 until September 2007, 80 cases of nipple/areola reconstruction were performed in our department (UDINE UNIV.) following mammary reconstruction or conservative breast surgery. Forty cases were carried out with the classical technique and another 40 cases with the introduction of our modification in the form of deepithelization of a semicircular area of the adjacent skin at the base of the flap. Postoperative follow-up as regards the nipple size, site, projection, symmetry and donnar scar were assessed. Patient satisfaction was also addressed and evaluated. Results: There were good to excellent results as regards nipple size, symmetry and projection. The technique is suitable for different autologous and implant reconstruction. The technique is an outpatient procedure, is easy and is not consuming time. Areolar graft from the contra-lateral areola is colouur matching and shows nearly no deference from the opposite one. Conclusions: Simple technique and not time consuming. Maintains the consistency and projection of the new nipple. Patient satisfaction. Minimal complication.

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A pure dermal sling for implant reconstruction after mastectomy in the generous breast

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2012.94.5.364 ◽

2012 ◽

Vol 94 (5) ◽

pp. 364-364 ◽

Cited By ~ 1

Author(s):

P Sarmah ◽

N Abbott ◽

R Bright-Thomas

Keyword(s):

Implant Reconstruction ◽

Dermal Sling

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Modified Lower Pole Autologous Dermal Sling for Implant Reconstruction in Women Undergoing Immediate Breast Reconstruction after Mastectomy

International Journal of Breast Cancer ◽

10.1155/2016/9301061 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

Pankaj G. Roy

Keyword(s):

Risk Reduction ◽

Cost Effective ◽

Immediate Breast Reconstruction ◽

Lower Pole ◽

One Stage ◽

Ptotic Breasts ◽

Nipple Sparing ◽

Implant Reconstruction ◽

Wise Pattern ◽

Dermal Sling

Background. Autologous dermal sling with wise pattern skin reducing mastectomy allows one-stage implant reconstruction in women with large and ptotic breasts needing mastectomy for cancer or risk reduction. However, this technique is not suitable for women who lack ptosis and also carries risk of T-junction breakdown.Method. We have performed one-stage nipple sparing mastectomies with implant reconstruction in 5 women (8 breasts) by modifying the autologous dermal sling approach. All these women had small to moderate breasts with no ptosis or pseudoptosis.Results. Three women had bilateral procedures, two underwent bilateral mastectomies simultaneously, and one had contralateral risk reduction surgery a year after the cancer side operation. All women underwent direct to implant reconstruction with implant volumes varying from 320 to 375 cc. There were no implant losses and only one required further surgery to excise the nipple for positive nipple shaves. A low complication rate was encountered in this series with good aesthetic outcome.Conclusion. The modified lower pole dermal sling allows direct to implant reconstruction in selected women with small to moderate sized breasts with minimal ptosis. The approach is safe and cost-effective and results in more natural reconstruction with preservation of nipple.

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