Most commonly, the patients looking for breast-nipple-reconstruction are patients left absent nipple either by radiation or a prior surgery. With a few exceptions, for the most part during the removal of breast cancer the nipples are removed in procedure called a Mastectomy. The nipples, however, can be reconstructed comfortably under local anesthesia in office with a procedure, known as Geometric Flap Reconstruction.
This procedure creates the form of a projecting nipple about the size of a large pencil eraser and is done after healing from any other procedures on the breast. The construction of tissue only corrects the shape, not the color of the area. Which normally has darker pigmentation than the surrounding skin of the breast.
After the reconstruction at our office, if the patient so desires, we are then able to recommend specialized artists, and send patients for nipple tattooing outside of the office. The artists are then able to create color and contour in 3 dimensions by placing pigments and forming the shadowing that naturally gives a nice appearance and central focus to the appearance to the breast. Dr. Jacobsen does not personally handle the tattooing aspect, but frequently performs the flap reconstructions that are needed for the nipple areolar complex of the breast.
For most, Breast Nipple Reconstruction is the last step and can only be performed once the breast is completely reconstructed and healed before the nipple areolar complexes can be optimally placed. During the consultation Dr. Jacobsen will speak to you more in depth about the reconstruction and make sure that you will be happy with the position, placement and outcome of the breast.