Free nipple graft; healing and results

Question

How does a FNG differ in terms of healing, resulting breast shape and any other diffetences? (Yes I know they are not considered necessary except extreme cases)

Larry S. Nichter, MD, MS, FACS · Answer

Loss of sensation, loss of nipple projection, incomplete take of the nipple/areolar graft and other complications can occur with this procedure. In my practice this is a very unusual as even very large breasts can be reduced with other techniques. On the other hand this is  a technique that should be considered when it is expected that there is not sufficient blood supply for the nipple and areola survival.

Stephen M. Davis, MD, FACS · Answer

I gree with my colleagues. Free nipple grafts have their problems, however when necessary they serve a necessary purpose. It is very rare for me to ever use free grafts. Find a Board Certified Plastic Surgeon who does a lot of breast surgery. He / she will help you understand your breast and what the best approach to managing them would be.Good LuckStephen M. Davis, MD, FACSGreen Hills Plastic surgery

Peter E. Johnson, MD · Answer

Free nipple grafts have many problems, which include loss of sensation, loss of colour, loss of nipple projection, or a non-take. The "take" is most often very good and the nipple heals well, though the other issues might cause surgeons to use the technique only as a last resort if nipple circulation is very much in doubt.

Hilton Becker, MD · Answer

I perform free nipple grafts in patients with excessively large breasts and in patients with breast cancer,where a lumpectomy is being performed or where a reduction is required on the opposite breast.Scarring can be kept to the breast fold without a vertical incision. Nipple grafts usually take very well ,however pigment loss can be a problem especially in dark skinned patients

Free nipple graft; healing and results

Answers (4)

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