Tattooing associated with C-V flap placement in one-stage reconstruction of the nipple-areola complex

ABSTRACT

Introduction:

Reconstruction of the nipple-areola complex (NAC) is a fundamental step in the treatment of breast cancer. It is usually performed in two distinct stages. Tattooing is performed only after reconstruction and complete scarring of the nipple.

Methods:

This retrospective study was conducted from 2015 to 2016 at the Hospital São Lucas of the Pontifical Catholic University of Rio Grande do Sul. Twenty-one patients with a single NAC were included. One-stage reconstruction of the nipple using a local C-V flap associated with tattooing for pigmentation of the NAC is described. Data on the type of breast reconstruction performed, associated complications, and presence of previous breast radiotherapy were presented.

Results:

Most patients (48%) underwent reconstruction with an implant. Three complications (14%) were observed in the nipple, including one case of partial necrosis and two cases of small dehiscence. None of the patients had complications due to tattooing. Eleven patients (52%) underwent breast radiotherapy previously.

Conclusion:

Tattooing combined with one-stage reconstruction using a C-V flap is a simple technique with a low rate of complication.

Keywords:
Tattooing; Nipples; Breast; Reconstructive surgical procedure; Surgical flap.