Reconstruction of the papilla and immediate tattooing of the nipple-areola complex: the technique, results, and a literature review

INTRODUCTION: The reconstruction of the nipple-areola complex (NACRec) is the final stage of breast reconstruction; and tattooing the nipple-areola complex (NAC) is well established as effective, although not widespread among Brazilian plastic surgeons. We have shown a simple method of NACRec using...

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Main Authors: Francisco Jose Fontenele Bezerra, Rosely Moraes Gonçalves de Moura
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Plástica 2018-03-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/1909/en_v33n1a03.pdf
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author Francisco Jose Fontenele Bezerra
Rosely Moraes Gonçalves de Moura
author_facet Francisco Jose Fontenele Bezerra
Rosely Moraes Gonçalves de Moura
author_sort Francisco Jose Fontenele Bezerra
collection DOAJ
description INTRODUCTION: The reconstruction of the nipple-areola complex (NACRec) is the final stage of breast reconstruction; and tattooing the nipple-areola complex (NAC) is well established as effective, although not widespread among Brazilian plastic surgeons. We have shown a simple method of NACRec using skin flaps for the preparation of the papilla and immediate tattooing of the NAC, shortening the recovery of the patient and avoiding new surgeries. METHODS: We performed a retrospective study of patients submitted to NACRec in our private clinic, from September 2015 to December 2016. We also searched the Medline database from 2004 to 2016 for reports of diseases associated with tattooing. RESULTS: Twenty-six patients underwent 28 reconstructions of the nipple-areola complex, with a mean age of 48 years (ranging from 29 to 65 years), with no major complications, except for the irregularity in pigment absorption in eight reconstructions (28.5%). CONCLUSION: The use of tattooing techniques in the preparation of the nipple-areola complex proved to be effective, with minimal morbidity, and easy to perform, with high patient satisfaction rates, despite the need for a future touch-up to obtain the ideal shade.
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spelling doaj.art-7ab007b73d8940ababebb966f3eae9942023-12-03T10:43:10ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352018-03-013301121810.5935/2177-1235.2018RBCP0003Reconstruction of the papilla and immediate tattooing of the nipple-areola complex: the technique, results, and a literature reviewFrancisco Jose Fontenele Bezerra0Rosely Moraes Gonçalves de Moura1Sociedade Brasileira de Cirurgia Plástica, Fortaleza, CE, BrazilSociedade Brasileira de Cirurgia Plástica, Fortaleza, CE, BrazilINTRODUCTION: The reconstruction of the nipple-areola complex (NACRec) is the final stage of breast reconstruction; and tattooing the nipple-areola complex (NAC) is well established as effective, although not widespread among Brazilian plastic surgeons. We have shown a simple method of NACRec using skin flaps for the preparation of the papilla and immediate tattooing of the NAC, shortening the recovery of the patient and avoiding new surgeries. METHODS: We performed a retrospective study of patients submitted to NACRec in our private clinic, from September 2015 to December 2016. We also searched the Medline database from 2004 to 2016 for reports of diseases associated with tattooing. RESULTS: Twenty-six patients underwent 28 reconstructions of the nipple-areola complex, with a mean age of 48 years (ranging from 29 to 65 years), with no major complications, except for the irregularity in pigment absorption in eight reconstructions (28.5%). CONCLUSION: The use of tattooing techniques in the preparation of the nipple-areola complex proved to be effective, with minimal morbidity, and easy to perform, with high patient satisfaction rates, despite the need for a future touch-up to obtain the ideal shade.http://www.rbcp.org.br/export-pdf/1909/en_v33n1a03.pdftattooingbreast neoplasmsmammaplastyreconstructive surgical procedurescosmetic techniques
spellingShingle Francisco Jose Fontenele Bezerra
Rosely Moraes Gonçalves de Moura
Reconstruction of the papilla and immediate tattooing of the nipple-areola complex: the technique, results, and a literature review
Revista Brasileira de Cirurgia Plástica
tattooing
breast neoplasms
mammaplasty
reconstructive surgical procedures
cosmetic techniques
title Reconstruction of the papilla and immediate tattooing of the nipple-areola complex: the technique, results, and a literature review
title_full Reconstruction of the papilla and immediate tattooing of the nipple-areola complex: the technique, results, and a literature review
title_fullStr Reconstruction of the papilla and immediate tattooing of the nipple-areola complex: the technique, results, and a literature review
title_full_unstemmed Reconstruction of the papilla and immediate tattooing of the nipple-areola complex: the technique, results, and a literature review
title_short Reconstruction of the papilla and immediate tattooing of the nipple-areola complex: the technique, results, and a literature review
title_sort reconstruction of the papilla and immediate tattooing of the nipple areola complex the technique results and a literature review
topic tattooing
breast neoplasms
mammaplasty
reconstructive surgical procedures
cosmetic techniques
url http://www.rbcp.org.br/export-pdf/1909/en_v33n1a03.pdf
work_keys_str_mv AT franciscojosefontenelebezerra reconstructionofthepapillaandimmediatetattooingofthenippleareolacomplexthetechniqueresultsandaliteraturereview
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