Breast Splint for Prevention of Nipple–Areolar Complex Malposition After Direct-to-Implant Breast Reconstruction

Yoshihiro Sowa, MD, PhD; Takuya Kodama, MD; Yuko Fuchinoue, MD; Naoki Inafuku, MD; Yasunobu Terao, MD, PhD

Disclosures

Plast Reconstr Surg Glob Open. 2022;10(1):e3965 

In This Article

Case Reports

Case 1

A 51-year-old woman with cancer of the left breast underwent Nipple-sparing mastectomy and DTI, and a silicon breast implant (MV12 Natrelle 133, Allergan) was inserted. No preventive measures for NAC malposition were taken. The NAC position evaluation was "bad" at 6 months after surgery (Figure 1).

Figure 1.

A 51-year-old woman with cancer of the left breast. The NAC on the reconstructed side is displaced to the cranial side by about 3 cm compared with that on the healthy side. Many cases in which a breast splint was not used had the NAC moved to the cranial side. The position of the NAC was evaluated as "bad" in this case.

Case 2

A 45-year-old woman with cancer of the right breast underwent Nipple-sparing mastectomy and DTI, and a silicon breast implant (MV13 Natrelle 133, Allergan) was inserted. Fixation with Duoactive CGF was started at the end of the surgery and continued for 1 month. After 6 months, the symmetry of the NAC position was almost maintained (Figure 2). The NAC position evaluation was "good."

Figure 2.

A 45-year-old woman with cancer of the right breast. With use of a breast splint, left–right symmetry of the NAC position was obtained. This case is representative of a "good" outcome.

processing....