Nipple reconstruction is one of the final steps in breast reconstruction after mastectomy. While it may be the last step, it is no less important. By reconstructing the nipple, the breast will look more natural. Many patients describe it as the “finishing touch” to their breast reconstruction.
Our Technique In Nipple Reconstruction
There are several available techniques in nipple reconstruction, including:
- Tattooing
- Local tissue flaps
- Different types of grafts
- Nipple sparing techniques
- Acellular dermal replacement
Depending on how your breast reconstruction is performed, Dr. Hunsicker and Dr. Nguyen will recommend a technique (or combination of techniques) that will achieve satisfactory results in your nipple reconstruction.
What Do the Different Nipple Reconstruction Techniques Entail?
Tattooing: This method involves tattooing to create the appearance of a nipple and areola. It's a non-surgical option that can be particularly appealing for those who do not wish to undergo further surgeries. The pigment is carefully matched to the natural skin color to enhance the breast's aesthetic after mastectomy.
Local Tissue Flaps: This technique uses the patient's own tissue, taken from the surrounding area of the breast, to construct a new nipple. It's a surgical procedure that allows for the creation of a nipple with more natural texture and projection.
Different Types of Grafts: Grafting involves taking tissue from another part of the body, such as the upper thigh or abdomen, and transplanting it to the breast to form a new nipple. Options include skin grafts and full-thickness grafts, each with different healing and aesthetic outcomes.
Nipple Sparing Techniques: In some breast reconstructions, the nipple and areola can be preserved during the mastectomy. This technique is ideal when cancer has not affected the nipple area, allowing for a more natural result post-surgery.
Acellular Dermal Matrix (ADM) Replacement: ADM involves using a scaffold-like matrix that comes from donated skin. This matrix is treated and sterilized to remove all cells, leaving behind a structure that supports the patient’s own cells to integrate and form natural tissue, helping in the reconstruction of the nipple.
Nipple Reconstruction Recovery
The healing process after nipple reconstruction can range from a few weeks to several months, depending on the specific procedure used. Immediately following surgery, patients may experience discomfort, swelling, and bruising, which are generally manageable with prescribed medications. It's important for patients to adhere to post-operative care instructions, including wearing appropriate garments and avoiding physical exertion. Follow-up visits are vital for ensuring the healing is on track and to manage any complications early.
Patients who choose tattoo replacement will not experience any significant downtime.
Longevity of Nipple Reconstruction Results
The durability of nipple reconstruction results can differ based on the method used. Tattooed nipples may fade over time and could require touch-ups. Surgical methods using tissue flaps or grafts aim to offer permanent results, though factors like aging and health changes can influence the appearance over time. Regular consultations with the surgeon can help manage expectations and maintain results.
Nipple Reconstruction Costs
Nipple reconstruction prices can vary widely on the technique used. Insurance usually covers the costs when performed as part of breast reconstruction post-mastectomy. Patients should discuss with their healthcare providers and insurance to understand all potential costs involved. Financing is also available at our practice.
Why Choose Revella Plastic Surgery for Nipple Reconstruction?
Our doctors believe in customizing each treatment to meet each patient’s unique needs and aesthetics, which enhances patient satisfaction. By offering advanced techniques in a supportive and professional environment, we are a top choice among women who have undergone breast reconstruction and are looking to feel whole again. For many women, it is comforting to have the same skilled doctor who performed breast reconstruction also handle the nipple reconstruction.
FAQ
Nipple reconstruction is typically postponed until the reconstructed breast has healed and settled, although sometimes the nipple reconstruction can also be performed in the same surgery as Dr. Hunsicker and Dr. Nguyen's direct-to-implant procedure. Nipple reconstruction can be very important for patient satisfaction, so it should not be delayed for too long. Usually it is performed six months or so after primary breast reconstruction has been completed.
Both the nipple and areola help define the natural appearance of the breast. Research has shown higher patient satisfaction when the nipple is reconstructed after mastectomy and breast reconstruction.
A successful nipple reconstruction procedure creates a new nipple, with natural-looking projection, size and shape. One of the most popular techniques is the local flap, in which tissue is transferred from an adjacent area to the nipple and areola. In many cases, when a local flap is used.
Dr. Hunsicker and Dr. Nguyen will aim to create a natural-looking nipple and areola. While dimensions of the nipple-areola complex vary, patients with average breast size usually have an areola that measures 4 – 5 centimeters in diameter. The nipple will have dimensions that are proportional to the areola.
Learn More About Nipple Reconstruction In South Denver
For more information about nipple reconstruction, we encourage you to call us for a personal consultation with Dr. Hunsicker. Call 720.283.2500 or email us to inquire about a consultation.
