Qin F, Yu NZ, Yang E, Zeng A, Hao Y, Zhu L, Wang XJ. Expander implantation for correction of high-riding nipple with enlarged nipple-areola complex using revision mastopexy: A case report. World J Clin Cases 2020; 8(9): 1674-1678 [PMID: 32420300 DOI: 10.12998/wjcc.v8.i9.1674]
Corresponding Author of This Article
Lin Zhu, MD, Professor, Department of Plastic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, 41 Damucang Hutong, Xicheng District, Beijing 100032, China. pumchzhulin@126.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 6, 2020; 8(9): 1674-1678 Published online May 6, 2020. doi: 10.12998/wjcc.v8.i9.1674
Expander implantation for correction of high-riding nipple with enlarged nipple-areola complex using revision mastopexy: A case report
Feng Qin, Nan-Ze Yu, Elan Yang, Ang Zeng, Yan Hao, Lin Zhu, Xiao-Jun Wang
Feng Qin, Nan-Ze Yu, Elan Yang, Ang Zeng, Yan Hao, Lin Zhu, Xiao-Jun Wang, Department of Plastic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Beijing 100730, China
Author contributions: Qin F drafted the manuscript and reviewed the literature; Yu NZ and Yang E contributed to manuscript drafting; Zeng A, Hao Y, and Zhu L were the patient’s surgeons and contributed to manuscript drafting; Wang XJ was responsible for the revision of the manuscript; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Lin Zhu, MD, Professor, Department of Plastic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, 41 Damucang Hutong, Xicheng District, Beijing 100032, China. pumchzhulin@126.com
Received: January 8, 2020 Peer-review started: January 8, 2020 First decision: April 8, 2020 Revised: April 10, 2020 Accepted: April 15, 2020 Article in press: April 15, 2020 Published online: May 6, 2020 Processing time: 112 Days and 18.7 Hours
Abstract
BACKGROUND
High-riding nipple is one of the common complications after mastopexty and breast reconstruction. However, to date, a limited number of techniques have concentrated on how to lower the high-riding nipple with enlarged areola.
CASE SUMMARY
This is a case report describing a combination of surgical techniques to decrease high-riding nipple. A 26-year-old woman, who previously underwent several breast operations, sought correction for high-riding nipple with enlarged areola. Expanders were used and multi-stage techniques were performed. After one year of follow-up, lowered nipple, reduced areola size, ensured nipple blood supply, and improved breast ptosis were achieved, and the patient was satisfied with the breast contour.
CONCLUSION
The proposed technique offers a feasible treatment option for postoperative nipple over-elevation combined with areola dilation.
Core tip: High-riding nipple is one of the common complications after mastopexty and breast reconstruction. However, there are very few techniques described in the current literatures on how to lower high-riding nipple with enlarged areola. This case report describes a combination of surgical techniques which offered a satisfactory correction. In this technique, expanders were used and multi-stage procedures were performed. This case offers a feasible method to solve the high-riding nipple with enlarged areola and can be used in other similar cases. At the same time, the size of the areola should be considered to assist in designing a suitable surgical plan.
