Is it possible to use Alloderm to create the areola and nipple after breast reconstruction using tissue expanders and implants? Have any of you surgeons done this procedure? If not, why not?
Nipple & Areola Construction from Alloderm?
Doctor Answers 4
I am not a fan of it... to many of them start off looking great and then deteriorate over time to where its flat. I prefer 3-D tattooing and if you really needed a nipple for that special outfit, to use silicone prosthetics that work quite well. If you decide to pursue nipple reconstruction, you want to know what their results look like 5 years later.
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Nipple and Areola Reconstruction with Alloderm
The areola can be tattooed or grafted. The nipple will be reconstructed with your own tissue with local flaps. Alloderm can be used to increase projection of the nipple. Kenneth Hughes, MD Los Angeles, CA
Alloderm for nipple reconstruction
Alloderm by itself is not a good idea for nipple and areola reconstruction. It has no cells or epithelium or intrinsic blood supply and works best as an internal filler or support system. Some physicians use a small piece of alloderm to augment the volume of the nipple reconstruction. Your best bet is to use your own local tissue for the reconstruction. Good luck.
Daniel Medalie, MD