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Nipple Reconstruction Using a Two-Step Purse Suture Technique

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Nipple-Areolar Complex Reconstruction

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Abstract

Many options exist for the creation of a nipple-areola complex following oncologic resection or trauma. Techniques described utilize local flaps, autologous grafts, and non-autologous material. The formation of an aesthetic nipple-areola complex (NAC) with lasting projection remains a challenge with each method presenting unique advantages and disadvantages. Despite numerous techniques described, no single approach has emerged as the gold standard. This chapter outlines a two-step surgical technique in NAC reconstruction allowing for independent reconstruction of the nipple and areola complex. In our hands, this technique has produced lasting results for over 20 years. It maintains projection while creating a natural contour between the nipple, the areola complex, and the surrounding breast tissue.

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Authors and Affiliations

  1. Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada

    Krista Genoway M.D. & Nancy Van Laeken M.D.

  2. Department of Surgery, Providence Health Care, Vancouver, BC, Canada

    Nancy Van Laeken M.D.

Authors
  1. Krista Genoway M.D.
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  2. Nancy Van Laeken M.D.
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Corresponding author

Correspondence to Krista Genoway M.D. .

Editor information

Editors and Affiliations

  1. Private Practice, Tustin, California, USA

    Melvin A. Shiffman

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© 2018 Springer International Publishing AG

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Genoway, K., Van Laeken, N. (2018). Nipple Reconstruction Using a Two-Step Purse Suture Technique. In: Shiffman, M. (eds) Nipple-Areolar Complex Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-60925-6_54

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  • DOI: https://doi.org/10.1007/978-3-319-60925-6_54

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60924-9

  • Online ISBN: 978-3-319-60925-6

  • eBook Packages: MedicineMedicine (R0)

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