Eur J Plast Surg (2014) 37:53–54 DOI 10.1007/s00238-013-0867-7 LETTER TO THE EDITOR An algorithm for maintaining nipple projection following nipple reconstruction Vladimir Saravolac & Iain S. Whitaker & Damien Grinsell Received: 29 April 2013 /Accepted: 9 June 2013 /Published online: 2 August 2013 Springer-Verlag Berlin Heidelberg 2013 Sir, The dressing consists of 1-in.-thick foam cut into 2×2-in. Nipple reconstruction is important for adding a sense of squares with a hole through the middle to accommo- realism and symmetry to the reconstructed breast mound. date the newly constructed nipple. A 4.0 suture is used There are numerous methods in clinical use to reconstruct to secure the nipple under light tension to a 1-in.-long the nipple–areola complex, and a comprehensive review can piece of cut microbiology swab handle, and clear adhe- be found elsewhere . Following nipple reconstruction pro- sive dressing is placed over the top to provide a protective cedures, the delicate flaps constituting the nipple are in need of barrier (Fig. 1). mechanical protection as they are susceptible to external pres- This modified foam dressing provides excellent im- sure that can lead to skin sloughing, loss of nipple projection, mediate post-operative stabilisation of the nipple with flap necrosis and
European Journal of Plastic Surgery – Springer Journals
Published: Jan 1, 2014
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