Nipple reconstruction

As Mamillenrekonstruktion surgical recovery (is reconstructed ) of the nipple , respectively. The procedure is often performed as a follow-up to breast reconstruction after breast removal due to breast cancer . There are numerous techniques.

tattoo

Fast and with very little risk. However, the protrusion of the nipple is missing and with poor tattoo artists the result can be less beautiful.

Nipple sharing

With large and normal nipples, half of the healthy side can be freely transplanted onto the reconstructed breast. Permanently good result, difficult with very small nipples or drawn-in warts.

Local flap sculptures

In this case, the nipple is reconstructed by moving local tissue (e.g. "skate flap"). In the postoperative months, a volume loss of up to 50% can occur. Therefore, the expected shrinkage is always taken into account in the preoperative marking. Also possible with bilateral reconstruction.

Areola

The areola is always reconstructed at the same time as the nipple reconstruction. This is often done by free grafting of skin from the groin on the border with the genital area. The skin is usually darker after transplantation and therefore resembles the original areole. Alternatively, it can also be tattooed. The tattoo artist Horst Klassenbach was the first tattoo artist to do this kind of work as early as 1976 after a breast cancer operation. The process was called "Straßenbach - Technik" in the med. Literature taken over. In 1983, a plastic surgery clinic in Braunschweig approached Straßenbach's student Manfred Kohrs to tattoo the areola for a breast reconstruction . In the period that followed, Kohrs carried out such work several times, supplied hospitals with the appropriate equipment and trained medical professionals.

literature

• Cora Creutzfeldt-Glees: How do I look afterwards ?: Pictures and texts of women after breast cancer surgery; with 5 tables. Vandenhoeck & Ruprecht 2004, ISBN 3-525-4618-36 .

Individual evidence

1. ↑ Heinz Bohmert (Ed.): Plastic surgery of the head and neck and the female breast. Thieme 1975, ISBN 3-135-2960-16 , p. 247.
2. ↑ Obstetrics and Women's Health Dogs , Volume 36, Issue 1, 1976 page 13.
3. ↑ Stadtkind Hannovermagazin, July 2016 edition, p. 47.
4. ↑ Sabrina Ungemach in Tattoo Kulture Magazine No. 22, 2017, p. 48.

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !