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Figure 20.
NAC refinement. The NAC may become disproportionate following breast reconstruction. Performing a vertical
mastopexy with or without a horizontal component allows the surgeon to not only address the preexisting scars but
also minimize NAC stretching.
for Complications of Aesthetic Breast Surgery
distributing tension evenly across the entire incision. This strategic approach not only
reduces the risk of NAC widening but also effectively addresses the presence of prior
scars (Figure 20).
A more recent stride in enhancing breast aesthetics post-reconstruction involves
the innovative application of NAC tattooing. Prior breast surgeries can result in NAC
distortion, nipple or NAC discoloration, and even nipple necrosis. Proficient tattoo
artists possess the ability to emulate the NAC’s natural appearance, seamlessly
melding it with the adjacent skin. This includes devising a tailored color palette for
each patient and artfully imbuing the nipple with texture and dimension, yielding
remarkably authentic results.
5. Conclusion
Aesthetic revision breast surgery or surgery for a variety of complex breast issues
represents a transformative journey for both the patient and surgeon with the aim to
restore the breast form. Through the interplay of meticulous planning, surgical expertize/
technique, a deep understanding of each patient’s unique needs/desires, and artistic
ability, the surgeon is able to recreate beauty while restoring the patient’s self-confidence.
While the procedure can provide significant benefits, it is essential to consider the
potential risks and have realistic expectations about the outcomes. Patients requiring
revision breast surgery should research potential surgeons carefully and choose an experienced, surgeon who has a successful track record of performing revisional surgery.
Disclosure statement
The authors have nothing to disclose.
23
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for Complications of Aesthetic Breast Surgery
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