Plastic and Reconstructive Surgery, Global Open (Jul 2022)

Targeted Nipple Areola Complex Reinnervation: Technical Considerations and Surgical Efficiency in Implant-based Breast Reconstruction

  • Lisa Gfrerer, MD, PhD,
  • Jessica Erdmann Sager, MD,
  • Olivia Abbate Ford, MD,
  • Matthew J. Carty, MD,
  • Francys C. Verdial, MD,
  • Michele A. Gadd, MD,
  • Michelle C. Specht, MD,
  • Jonathan M. Winograd, MD,
  • Ian L. Valerio, MD

DOI
https://doi.org/10.1097/GOX.0000000000004420
Journal volume & issue
Vol. 10, no. 7
p. e4420

Abstract

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Background:. Despite promising pilot study results, adoption of neurotization of immediate implant-based reconstructions has not occurred. Methods:. For surgeons interested in adopting breast reinnervation techniques, we present ways to overcome initial barriers by decreasing operative time and maximizing chances of sensory recovery. Results:. We discuss the combined experience at two academic teaching hospitals, where neurotization of both immediate tissue expander cases and direct-to-implant reconstructions are performed through varying mastectomy incisions. Conclusion:. Initial barriers can be overcome by shortening operative time and providing an individualized reinnervation approach that aims to increase the chance of meaningful sensation.