Management of nipple malposition after breast implant removal following nipple sparing mastectomy: An algorithmic approach.

ABSTRACT:

Background

Infection is problematic in implant-based breast reconstruction and can be particularly challenging with nipple-sparing mastectomy (NSM). Traditionally, infected tissue expanders (TEs)/implants are removed for several months resulting in nipple malposition. Negative pressure wound therapy with instillation and dwell (NPWTi-d) has been described to salvage infected TEs/implants. The effect of NPWTi-d on maintenance of skin envelope/nipple position with TE has not been well described. Surgical nipple correction in this group has not been well characterized. The purpose of this study is to evaluate correction of nipple malposition following implant removal with nipple-sparing mastectomy.

Methods

A single-center retrospective review was performed for NSM patients who

SUBMITTER: Ahmed S 

PROVIDER: S-EPMC12596661 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature