How Can I Get Projection for Reconstructed Nipples?

Question

Prophylacti bilateral mastectomy in 2008 with nipple reconstruction using c-v flap. They are flattened. I have tried injectable filler Radiesse... with barely noticeable results. Is it possible to re-do and result in more palpable projection? I have also considered trying a product called Nipplettes, which is mostly for inverted nipples. Mine are a different situation and involve scar tissue. Thanks for any help and options.

Vishnu Rumalla, MD · Answer

Unfortunately, nipple projection can deteriorate over time.  I use alloderm to help increase projection for secondary nipple procedures

Otto Joseph Placik, MD · Answer

Creating adequately projecting reconstructed nipples can be difficult. In some situations a graft (earlobes and even toes) may be used.

C. Bob Basu, MD, MPH, FACS · Answer

You have identified one of the limitations we have in breast reconstruction with implants. Because your mastectomy skin envelopes are thin, it is challenging to maintain the projection of your reconstructed nipple given the thinness of the remaining tissue. I routinely add AlloDerm to my nipple reconstructions to help maintain their projection. But I always prepare patients with implant reconstruction that your reconstructed nipples will definitely shrink down.

David L. Abramson, MD · Answer

Poor nipple projection can oftern be e problem in implant reconstructions. One option is to add alloderm to the nipple reconstruction to help proved additional projection.

Fredrick A. Valauri, MD · Answer

The C-V flap nipple  reconsrtruction technique you mentioned usually gives good results.  In your case cartilage grafts from the ear may be helpful to improve nipple projection.

How Can I Get Projection for Reconstructed Nipples?

Answers (10)