Nipple Malposition after Nipple-sparing Mastectomy with Implant-based Reconstruction: Understanding Its Occurrence and Prevention.

ABSTRACT:

Objectives

The reasons for nipple malposition after nipple-sparing mastectomy with implant-based reconstruction are not well characterized, and nipple asymmetry remains a source of patient dissatisfaction. This study employed mathematical simulation to analyze the variables that affect nipple position, developed countermeasures to improve symmetry, and tested them in a case-control cohort.

Methods

Patients who underwent nipple-sparing mastectomy followed by two-stage tissue expander and implant reconstruction were recruited and divided into two groups. The study group (N = 57) underwent reconstructive surgery guided by our mathematical simulations and countermeasures. The control group (N = 32) underwent reconstructive surgery using conventional methods.

Results

Morph

SUBMITTER: Shiraishi T 

PROVIDER: S-EPMC11913002 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature