Since the introduction of these precautions, we have had no graft loss or flattening, and we have a small nipple with “natural” projection and pigmentation. Depigmentation occurred only in a case of partial graft lost. In our surgical practice of almost 100 cases (55 double-incision mastectomies with nipple-areola complex grafting), we have had only three cases of nipple graft loss and in only one patient have we used a local flap in the second-step revision.
The authors have no financial interest to declare in relation to the content of this communication.
Giulia Lo Russo, M.D.
Sara Tanini, M.D.
1. Frey JD, Yu JZ, Poudrier G, et al. Modified nipple flap with free areolar graft for component nipple-areola complex construction: Outcomes with a novel technique for chest wall reconstruction in transgender men. Plast Reconstr Surg. 2018;142:331–336.
2. Tanini S, Lo Russo G. Shape, position and dimension of the nipple areola complex in the ideal male chest: A quick and simple operating room technique. Aesthetic Plast Surg. 2018;42:951–957.
3. Lo Russo G, Tanini S, Innocenti M. Masculine chest-wall contouring in FtM transgender: A personal approach. Aesthetic Plast Surg. 2017;41:369–374.
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