Breast Reconstruction: Q&A
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How Can I Get Projection for Reconstructed Nipples?
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.
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11 Doctor Answers |
Asked by
cherokee2
in Denver, CO
+3
Projection of nipples after reconstruction
I have used a dermal substitute called alloderm to help give projection to my c-v flaps. I find this to work remarkeably well in patients who have undergone tissue expansion, which will naturally thin the overlying skin.
I wish you a safe recovery.
+2
Nipple Projection after Breast Reconstruction
It can be very difficult to achieve satisfactory nipple projection with implant reconstruction. There are a few technique with which I have had success. First, revision with a different technique can often help. Also using dermal or cartilage graft can also improve the volume.
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Projection of reconstructed nipples
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....
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Breast reconstruction
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.
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Alloderm for nipple projection
Unfortunately, nipple projection can deteriorate over time. I use alloderm to help increase projection for secondary nipple procedures
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Help for Flat Nipples after Breast Reconstruction
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.
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Nipple projection
It is normal to lose some degree of nipple projection over time. I routinely use allograft (Alloderm) to give more volume and projection. Nipple reconstruction can be revised with placement of Alloderm, cartilage or dermal fat graft to give more projection.
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Nipple projection is difficult to maintain
I like to use C-V flaps for my nipple designs, and usually do a technique to deepithelialize (or remove the outer layer of skin) a semi-circle where I sit the nipple down against the breast, so it is less likely to retract. Using Alloderm can be helpful, although the introduction of foreign material may slightly increase the risk of infection. Also, Alloderm grafts can sometimes become exposed or extrude. Similarly, silicone nipple plugs and other foreign body devices designed to achieve...
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Projecting reconstructed nipples
Creating adequately projecting reconstructed nipples can be difficult. In some situations a graft (earlobes and even toes) may be used.
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Nipple augmentation
Yes, sometimes there is some atrophy of the nipple areola reconstructions. Some have tried filler and cartilage grafts in the past. Alloderm may help as well.
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Correcting Retraction of Reconstructed Nipples
Regarding: "How Can I Get Projection for Reconstructed Nipples?
Prophylactic 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 optio
more
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