Immediate Targeted Nipple–Areolar Complex Reinnervation: Improving Outcomes in Immediate Autologous Breast Reconstruction

摘要

INTRODUCTION: Breast reconstruction often renders the chest skin and nipple–areolar complex (NAC) insensate. As we continue to push the envelope in breast reconstructive surgery, patient expectations have evolved from the creation of a breast mound to the restoration of breast functionality. The NAC is the signature element of the breast and NAC preservation is associated with superior psychological outcomes in breast reconstruction. The rates of nipple sensation following NSM are extremely varied in the literature, ranging from 15% to 75% of patients, with unpredictable quality of sensibility. Recovery of sensation has been associated with improved quality of life in the breast reconstruction patient.