We have successfully used this technique over a series of 25 consecutive alloplastic reconstructions following nipple-sparing mastectomy, evenly split between two-stage expander and single-stage reconstructions. Postoperative irradiation was also administered in 16 percent. No revisions to the nipple-areola complex were required over the median 6-month follow-up period (range, 2 to 12 months). Given that the technique results in negligible additional operative time, complications, and costs, we suggest that it be included among solutions to this difficult problem.
Esta S. Bovill, Ph.D., F.R.C.S.(Plast.)
Sheina A. Macadam, M.D.
Peter A. Lennox, F.R.C.S.
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2. Spear SL, Albino FP, Al-Attar A. Classification and management of the post-operative, high-riding nipple. Plast Reconstr Surg. 2013;131:1413–1421
3. Millard DR Jr, Mullin WR, Lesavoy MA. Secondary correction of the too-high areola and nipple after a mammaplasty. Plast Reconstr Surg. 1976;58:568–572
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5. Colwell AS, May JW Jr, Slavin SA. Lowering the postoperative high-riding nipple. Plast Reconstr Surg. 2007;120:596–599
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