Unilateral nipple reconstruction with nipple sharing: time for a second look.

BACKGROUND: Nipple-sharing reconstruction in unilateral breast reconstruction is not a new technique. Although barriers to its regular use exist, no other technique can offer a nipple reconstruction with all of the following: proper size, proper shape, proper color match, proper texture, and long-term projection. The large number of flap techniques that exist for nipple reconstruction testify to the reconstructive challenge.

METHODS: This study describes 57 patients who underwent nipple sharing as their primary mode of nipple reconstruction.

RESULTS: Overall patient satisfaction with the technique was 88 percent. Data regarding size, shape, color, sensation, and erectile function in the graft, and donor-site morbidity are presented.

CONCLUSIONS: These data provide the physician with the necessary information to make an informed discussion regarding nipple-sharing reconstruction. Nipple sharing should be considered a viable alternative in unilateral breast reconstruction and should especially be considered after irradiation where flap procedures are contraindicated.