Mega Clinic, 1-18-5 Higashinakajima, Higashiyodogawa-ku, Osaka 533-0033, Japan.
Aesthetic Plast Surg. 2010 Feb;34(1):52-8. doi: 10.1007/s00266-009-9431-z. Epub 2009 Dec 31.
The goal of breast reconstruction after breast cancer is to obtain symmetrical breasts, including the nipple-areola complex. However, in some cases the nipple-areola complex may not be symmetrical even though a symmetrical breast shape has been created. In such cases the nipple-areola complex has been transpositioned, leaving a scar to close the wound or skin graft in the original position.
To treat this problem, skin surrounding the areola is removed and two pedicles are created to bear the nipple-areola complex. The nipple-areola complex is then moved to the proposed position and the surrounding circular edge of the skin is closed using a purse-string suture.
The author performed this technique in three nipple-areolae of two patients. All the nipple-areolae were transposed to the proposed position to create symmetrical breasts without any complications.
This technique can be used when the malpositioned nipple-areola complex is not too far from the proposed position. The nipple-areola complex can be moved without leaving any scar at the original position of the complex.
乳腺癌后乳房重建的目标是获得对称的乳房，包括乳头乳晕复合体。然而，在某些情况下，即使已经创建了对称的乳房形状，乳头乳晕复合体也可能不对称。在这种情况下，已经对乳头乳晕复合体进行了移位，在原始位置留下了用于闭合伤口的疤痕或皮片。
为了解决这个问题，切除乳晕周围的皮肤，并创建两个蒂来承载乳头乳晕复合体。然后将乳头乳晕复合体移至拟议位置，并使用荷包缝线闭合皮肤的圆形边缘。
作者在两名患者的三个乳头乳晕复合体中实施了该技术。所有的乳头乳晕复合体都被转移到了拟议的位置，从而创造了对称的乳房，没有任何并发症。
当移位的乳头乳晕复合体距离拟议位置不太远时，可以使用该技术。可以在不留下复合体原始位置任何疤痕的情况下移动乳头乳晕复合体。
