Iacovelli Serena, De Palma Giuseppe, De Santis Valerio, Cutrignelli Daniela Anna, Armenio Andrea, Bove Samantha, Comes Maria Colomba, Fanizzi Annarita, Vitale Elsa, Massafra Raffaella, Ressa Cosmo Maurizio
Scientific Directorate, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Institutional BioBank, Experimental Oncology and Biobank Management Unit, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Aesthetic Plast Surg. 2025 Mar;49(5):1299-1303. doi: 10.1007/s00266-024-04418-y. Epub 2024 Oct 4.
Nipple-areolar complex reconstruction is the final stage of breast reconstruction, and it improves quality of life in patients with post-mastectomy breast cancer. We present a case of a patient with breast cancer underwent breast reconstruction and subsequent nipple-areolar complex reconstruction with an innovative biocompatible smooth silicone implant specially designed for a long-lasting restoration of the nipple-areola complex called FixNip NRI. However, to our knowledge, nipple-areolar complex reconstruction with FixNip was not previously reported.
We present an emerging technique applied on a patient with breast cancer treated with skin-sparing mastectomy and with immediate breast reconstruction using an expander and then exchanged expander to breast implant. FixNip nipple reconstruction implant is implanted for the reconstruction of the areola-nipple complex with local-regional anaesthesia. She did not develop any postoperatively short-term or long-term complications, and her nipple slowly underwent to a gradual and better definition of its profile.
This new approach regarding the reconstruction of the nipple-areola complex seems to be very promising in relation to both the degree of aesthetic satisfaction of patients and the ease of use by surgeons.
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乳头乳晕复合体重建是乳房重建的最后阶段，可提高乳房切除术后乳腺癌患者的生活质量。我们报告一例乳腺癌患者，其接受了乳房重建及随后使用一种专门设计用于持久修复乳头乳晕复合体的创新型生物相容性光滑硅胶植入物（FixNip NRI）进行乳头乳晕复合体重建的病例。然而，据我们所知，此前尚无使用FixNip进行乳头乳晕复合体重建的报道。
我们介绍一种应用于接受保乳皮肤切除术并立即使用扩张器进行乳房重建、随后将扩张器更换为乳房植入物的乳腺癌患者的新技术。在局部区域麻醉下植入FixNip乳头重建植入物以重建乳晕乳头复合体。她术后未出现任何短期或长期并发症，其乳头轮廓逐渐变得更加清晰。
这种乳头乳晕复合体重建的新方法在患者美学满意度和外科医生操作便利性方面似乎都非常有前景。
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