Spyropoulou G A, Sterne G D
Department of Plastic and Reconstructive Surgery, City Hospital, Dudley Road, Birmingham B187QH, UK.
Aesthetic Plast Surg. 2009 Mar;33(2):240-2. doi: 10.1007/s00266-008-9231-x. Epub 2008 Aug 15.
This article provides an algorithm for achieving an aesthetically pleasing nipple-areola complex in cases of skin-sparing mastectomy and immediate reconstruction
If the contralateral nipple was big enough and the nipple-sharing technique could be used in the future for reconstruction, we left a round skin paddle at the time of the skin-sparing mastectomy and immediate flap reconstruction. The diameter of the round skin paddle was approximately the same as the contralateral areola. For nipple reconstruction we placed the graft from the contralateral nipple in the middle of the aforementioned skin paddle. If the contralateral nipple was not sufficiently large for use as a donor, then the C-V flap was used for nipple reconstruction. In these cases we deliberately left an oval skin paddle when the skin-sparing mastectomy and immediate flap reconstruction were performed. The short diameter of the oval skin paddle was approximately the same as the diameter of the contralateral areola. The position and the height of the C-V flap were marked in order to transform the oval skin paddle to a round one when the donor site of the C-V flap was closed.
Following this algorithm an optical illusion of a nipple-areola complex that is similar to the contralateral normal one is created.
From our experience this algorithm can help create an aesthetically pleasing nipple-areola complex and also provides a ready pattern to our tattoing experts for the dermatography of the nipple-areola complex.
本文提供了一种算法，用于在保乳皮肤切除和即刻重建的情况下实现美观的乳头乳晕复合体。
如果对侧乳头足够大且未来可采用乳头共享技术进行重建，我们在保乳皮肤切除和即刻皮瓣重建时保留一个圆形皮瓣。圆形皮瓣的直径与对侧乳晕大致相同。对于乳头重建，我们将取自对侧乳头的移植物置于上述皮瓣的中央。如果对侧乳头作为供体不够大，则采用C-V皮瓣进行乳头重建。在这些情况下，我们在进行保乳皮肤切除和即刻皮瓣重建时特意保留一个椭圆形皮瓣。椭圆形皮瓣的短径与对侧乳晕直径大致相同。标记C-V皮瓣的位置和高度，以便在关闭C-V皮瓣供区时将椭圆形皮瓣转变为圆形。
按照该算法可营造出与对侧正常乳头乳晕复合体相似的视觉错觉。
根据我们的经验，该算法有助于打造出美观的乳头乳晕复合体，也为我们的纹身专家提供了乳头乳晕复合体皮肤纹绘的现成模式。
