Prof. Fabio Santanelli di Pompeo

Nipple and Areola

Breast Reconstruction

About Nipple and Areola

It is the final touch to complete a reconstructive program leading to a comprehensive healing. Under certain circumstances it is possible to reconstruct nipple and areola complex during the same session of the breast reconstruction, if using autologus tissues or combined procedures (Latissimus Dorsi and prosthesis), achieving outstanding results. This strategy sometimes allows to reduce the long surgical program (mastectomy, breast reconstruction, contralateral symmetrization and nipple and areola complex reconstruction) in a single stage. It can be used when skin sparing mastectomies enable to locate in advance the final position of the nipple.

Nipple Reconstruction

It can be performed simultaneously to breast reconstruction or delayed with a short surgery lasting 20 minutes, sometimes under local anesthesia and on an outpatient base.

From our point of view it is the proper fulfillment of a successful breast reconstruction. In our experience, it is required by 99% of our patients, because of their needs to mirror with necked breast and feel completely returned to a normal life, able to wear light shirts or bathing-suit on summer holidays, without showing the absence of the nipple.

Areola Reconstruction

It is the closure of the clinical pathway, necessary to forget the experience as soon as possible. In our clinical experience, we prefer to save our patients from another surgical procedure, even if minor, by performing a medical tattoo for the areola reconstruction. It takes 30 min in the hands of an expert anaplastologist in the outpatient clinic.

Sometimes it is convenient to modify the contralateral areola color too, so to obtain a better chromatic match between the two sides.

About Nipple and Areola

It is the final touch to complete a reconstructive program leading to a comprehensive healing. Under certain circumstances it is possible to reconstruct nipple and areola complex during the same session of the breast reconstruction, if using autologus tissues or combined procedures (Latissimus Dorsi and prosthesis), achieving outstanding results. This strategy sometimes allows to reduce the long surgical program (mastectomy, breast reconstruction, contralateral symmetrization and nipple and areola complex reconstruction) in a single stage. It can be used when skin sparing mastectomies enable to locate in advance the final position of the nipple.

Nipple Reconstruction

It can be performed simultaneously to breast reconstruction or delayed with a short surgery lasting 20 minutes, sometimes under local anesthesia and on an outpatient base.

From our point of view it is the proper fulfillment of a successful breast reconstruction. In our experience, it is required by 99% of our patients, because of their needs to mirror with necked breast and feel completely returned to a normal life, able to wear light shirts or bathing-suit on summer holidays, without showing the absence of the nipple.

Areola Reconstruction

It is the closure of the clinical pathway, necessary to forget the experience as soon as possible. In our clinical experience, we prefer to save our patients from another surgical procedure, even if minor, by performing a medical tattoo for the areola reconstruction. It takes 30 min in the hands of an expert anaplastologist in the outpatient clinic.

Sometimes it is convenient to modify the contralateral areola color too, so to obtain a better chromatic match between the two sides.

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Healing is a process that can be considered complete when, finally, you might recognize yourself into your own body, despite unavoidable changes...

In the last decades Plastic Surgery, has become part of the oncologic treatment protocol, as the importance of the reconstructive stage following resection of a diseased body part has been universally recognized. Concerning breast tumor, most advanced hospitals set up a “Breast Unit”, multidisciplinary functional unit composed by different specialists who cooperate to offer to the patient the best opportunity available from medical science, to contrast tumor disease and return to normal life.

There are several breast reconstructive procedures, even though expander and prosthesis is the most known. This web-site is dedicated to women undergoing mastectomy and willing to know all reconstructive opportunities. Main goal is to present “autologous” procedures using live tissues from the patient itself as a sort of “auto-transplant”. Advances in vascular microsurgery and in peri-operative patient care have allowed for outstanding steps forward to restore the female body image.

Once all aspects have been taken into proper consideration, a woman should be assisted during choice with broad information, evaluating pro and cons among any surgical procedure, so she can decide what is best for her.