Riot S, Devinck F, Aljudaibi N, Duquennoy-Martinot V, Guerreschi P
Service de chirurgie plastique et reconstructrice, CHU Rangueil, 1, avenue Jean-Poulhès, 31059 Toulouse, France.
Service de chirurgie plastique et reconstructrice, CHU de Lille, 2, avenue Oscar-Lambret, 59037 Lille cedex, France.
Ann Chir Plast Esthet. 2016 Apr;61(2):141-4. doi: 10.1016/j.anplas.2015.11.005. Epub 2015 Dec 28.
The reconstruction of the nipple-areola complex is an essential step in breast reconstruction. It announces the end of the reconstruction process, which is often long and sometimes difficult to live for the patient and will significantly improve the perception of body image. Concerning the reconstruction of the areola, tattooing is one of the preferred techniques. It's a simple, quick and safe procedure with a high satisfaction rate. This technique is still perfectible in our opinion, because the random lifetime of pigmentation is a recognized disadvantage of this procedure. We propose a modification of the conventional technique for improving the quality of dermopigmentation while reducing its completion time. Our method is to perform a dermabrasion before starting the tattoo. Indeed, dermabrasion allows better penetration of the pigments inside the dermis and thus offers two advantages: a more durable result over time and reduced operation time by reducing the number of passing of the machine tattoo. Finally, our tattooing technique seems relevant and totally appropriate: its realization is simple, reproducible, does not increase the overall cost of reconstruction, provides timesavings and gives a better long-term result.
乳头乳晕复合体的重建是乳房重建中的关键步骤。它宣告了重建过程的结束，而这一过程通常漫长，患者有时难以承受，但其能显著改善身体形象认知。关于乳晕重建，纹身是首选技术之一。这是一种简单、快速且安全的手术，满意度高。我们认为这项技术仍有可完善之处，因为色素沉着的随机寿命是该手术公认的缺点。我们提出一种改良的传统技术，以提高皮肤色素沉着质量并缩短手术时间。我们的方法是在纹身前进行磨皮。事实上，磨皮能使色素更好地渗透到真皮内，从而带来两个优势：随着时间推移效果更持久，且通过减少纹身机器的操作次数缩短手术时间。最后，我们的纹身技术似乎合理且完全适用：操作简单、可重复，不增加重建的总体成本，节省时间并能带来更好的长期效果。
