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3D areola dermopigmentation (nipple-areola complex).

Authors
  • Uhlmann, Natalia Rodrigues1
  • Martins, Maria Marta1
  • Piato, Sebastião1
  • 1 Department of Obstetrics and Gynecology, Santa Casa de Sao Paulo School of Medical Sciences, São Paulo, Brazil. , (Brazil)
Type
Published Article
Journal
The Breast Journal
Publisher
Wiley (Blackwell Publishing)
Publication Date
Nov 01, 2019
Volume
25
Issue
6
Pages
1214–1221
Identifiers
DOI: 10.1111/tbj.13427
PMID: 31321852
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Surgical techniques for reconstructing the nipple-areola complex (NAC) pose disadvantages such as areola necrosis, loss of nipple projection, depression or local necrosis, temporary leave from professional activities due to convalescence, and operational costs, all of which are factors that may discourage patients from undergoing them. In this context, dermopigmentation stands out as an emerging nonsurgical option. It is an inexpensive outpatient procedure that mimics the nipple-areola complex by means of defining the areolar contour, Montgomery's tubercles, and a variety of colors that allow for individualization and contralateral symmetry. In this pioneering study, we propose to validate the 3D dermopigmentation technique as a preferential technique in the NAC reconstruction process. We selected 30 women with previous breast cancer who underwent conservative breast surgeries or mastectomy with NAC removal more than 6 months prior to their participating in our study. We employed the dermopigmentation technique, which we evaluated with the aid of questionnaires intended for patients, doctors, and tattooists. Among specialists, results were considered good and excellent with regard to overall esthetics (76.07%) and color (72.5%); whereas among patients, results were considered good and excellent with regard to overall satisfaction (95%) and color (100%); no adverse events were observed. Three-dimensional dermopigmentation proved to be a promising nonsurgical technique for nipple-areola complex reconstruction. © 2019 Wiley Periodicals, Inc.

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