One-Stage Nipple and Breast Reconstruction Following Areola-Sparing Mastectomy
A 29-year-old female visited with invasive lobular carcinoma measuring 3.9 cm×3.6 cm in size in the upper outer quadrant of the right breast without nipple involvement. The tumor mass was 2.8 cm from the edge of the areola. The patient underwent ASM of the right breast and axillary lymph node dissection by a breast surgeon. The breast was immediately reconstructed with a TRAM flap, and the nipple was simultaneously reconstructed with a modified C-V flap. At 18 months postoperatively, the patient was satisfied with the outcome and had no recurrence, but a gutter-like depression around the reconstructed nipple occurred. The authors think this was probably due to excessive scarring around the nipple ().