Nipple-Areolar Complex Reconstruction

A Review of the Literature and Introduction of the Rectangle-to-Cube Nipple Flap

Joshua T. Henderson, BA; Thomas J. Lee, MD; Andrew M. Swiergosz, BS; Andrea R. Hiller, BS; Joshua Choo, MD; Bradon J. Wilhelmi, MD, FACS


ePlasty. 2018;18(e15) 

In This Article


A 41-year-old woman presented with abnormal screening mammography and was found to have invasive ductal carcinoma of the right breast. The patient elected to have bilateral total skin-sparing mastectomies with immediate breast reconstruction with tissue expanders. 350 CPX3 Mentor tissue expanders were used. After expansion, the expanders were replaced by 650 moderate profile plus Mentor implants filled with 900 mL of saline. She had no postoperative complications, and she desired nipple reconstruction.

Nipple reconstruction was performed 6 months after the permanent implants were placed. Since there was widening of the scar with medial and lateral breast contour redundancy, scar revision was planned concurrently.