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Expander implantation for correction of high-riding nipple with enlarged nipple-areola complex using revision mastopexy: A case report

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World Journal of Clinical Cases 2020年第9期8卷 1674-1678页

作者： Feng Qin Nan-Ze Yu Elan Yang Ang Zeng Yan Hao Lin Zhu Xiao-Jun Wang Department of Plastic Surgery Peking Union Medical College HospitalPeking Union Medical CollegeBeijing 100730China

BACKGROUND high-riding nipple is one of the common complications after mastopexty and breast ***,to date,a limited number of techniques have concentrated on how to lower the high-riding nipple with enlarged *** SUMMARY This is a case report describing a combination of surgical techniques to decrease high-riding nipple.A 26-year-old woman,who previously underwent several breast operations,sought correction for high-riding nipple with enlarged *** were used and multi-stage techniques were *** one year of follow-up,lowered nipple,reduced areola size,ensured nipple blood supply,and improved breast ptosis were achieved,and the patient was satisfied with the breast *** The proposed technique offers a feasible treatment option for postoperative nipple over-elevation combined with areola dilation.

关键词： high-riding nipple Enlarged areola Expander Mastopexty Breast ptosis Case report

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Usefulness of Free Nipple-Areola Complex Graft for Nipple Malposition after Nipple Sparing Mastectomy

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Modern Plastic Surgery 2012年第4期2卷 87-90页

作者： Kyoichi Matsuzaki Department of Plastic and Reconstructive Surgery Kawasaki Municipal Tama Hospital Kawasaki Japan

Purpose: This article identifies the advantage and disadvantage of a free nipple areola complex graft (FNACG) for nipple malposition which resulted from tissue-expander insertion and subsequently replaced with an implant after nipple sparing mastectomy (NSM). Methods: The subjects were three such patients treated using FNACG and who were followed up for at least one year postoperatively. The surgical outcome was assessed for symmetry of nipple-areola position, graft take, depigmentation, and shrinkage. Results: In all patients, the graft was accurately transferred to a position to achieve symmetry with the unaffected breast, and there was complete graft take in the areola by simple surgical design and techniques. No depigmentation of the areola was observed. The size of the areola was almost unchanged after grafting in two patients, but areolar shrinkage occurred in one other patient. There was complete graft take in the nipple in one patient and no depigmentation of the nipple was observed. Necrosis occurred at the tip of the nipple in two other patients. These patients had depigmentation, and the height of nipples decreased in proportion to the level of necrosis. Conclusion: FNACG can be a useful method if its advantages and disadvantages are well considered.

关键词： high-riding Nipple Nipple Areola Complex Graft Nipple Sparing Mastectomy Nipple Malposition Nipple Transposition

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