Nipple Reconstruction A plastic
surgery procedure to recreate the nipple complex on the breast.
This is generally done by free grafting skin from another
area of the patient's body onto the nipple area of the breast.
In order to match the color of the nipple on one or both of
the nipples tattooing may be used. This procedure is usually
done in the final stages of breast reconstruction.
Nipple Areolar Reconstruction
- Reconstructive surgery techniques for the nipple and areola
complex vary based on the desires and physical needs of each
individual patient. Nipple- areola reconstruction is typically
done on an outpatient basis and is performed in a hospital
or accredited surgery center.
According to Dr.
Corbin, a plastic surgeon with over 20 years experience
reconstruction surgery there are different surgery options
to reconstruct the nipples
and or the surrounding areola
complex. "A large part of surgery
success starts with surgeon/patient communication he says.
Both the surgeon and the reconstructive patient must understand
what can be and what can't be accomplished with plastic
surgery. It is very important to take time to carefully
explain the pros and cons of the different nipple reconstructive
surgeries. Pre surgery education and patient evaluation is
an important part of the surgery process." In addition,
mastectomy scarring as well as
breast skin and tissue may affect the overall reconstructive
Corbin says, "By the end of one or more surgery
consultations with the reconstructive patient, it is important
for me to know that my patient is comfortable,well informed
and trusts me to do the reconstructive surgery procedure that
will give them the best possible results." Our office
likes to satisfy the emotional needs as well as the physical
needs of our patients.
Because each patient's needs and physical
factors are different, Dr.
Fred Corbin must evaluate the patient's thoroughly before
determining the best plastic surgery technique. Some of the
basic physical factors he considers in nipple
reconstruction are the shape, size, nipple texture, nipple
projection and where the reconstructed nipple will be placed
on the reconstructed breast
No patient is perfectly symmetrical. The two sides of the
body are naturally different. Asymmetry is more noticeable
in some patients than others and this difference can present
a surgical challenge.
Unilateral Nipple Reconstruction
If the nipple reconstruction is Unilateral
Corbin has the difficult task of matching the reconstructed
nipple to the natural nipple.He has to evaluate the color,
skin texture, size, shape and the location on the breast mound
where the reconstructed nipple and areolar will best match
the other side. With a normal breast on one side, reconstructing
the nipple on the other side to match and sharing a portion
of the normal nipple on the other breast
may work well because the color and texture will be the same.
This (nipple sharing)
reconstructive technique is best when the patient has a larger
nipple and areolar complex.
Skin Graft Sites
Reconstructive surgery options the plastic
surgeon must consider are the location of the donor site
used to take the skin from that is needed to create the nipples
and or areolar complex. To reconstruct the nipple or nipples,
Dr. Corbin can use a local
tissue flap or a graft using skin taken from another location
(donor site) on the patient's body that best matches their
nipple texture and or color. Some of the most commonly used
donor sites are, medial inner thigh, groin area or behind
the ears. The medial thighs and groin tend to have darker
skin and for a lighter shape of pink the skin from behind
the ear is often used by Dr.
Bilateral Nipple Reconstruction
According to Dr. Corbin, "If a patient
nipple reconstruction, using local tissue flaps on both
sides is a good surgery option since both nipples will look
FYI, flaps are moved from one location on the body to the
reconstructive site with the blood supply intact, while skin
grafts are removed from their own blood supply transferred
to the reconstructive site on the breast mound. The free flap
grafts viability depends on the growth of a new blood supply
at their new site. Because the blood supply of the patient
is so important in determining the final surgery result. Dr.
Corbin will not perform this surgery on smokers.
The local tissue flap procedure used to reconstruct the nipples
avoids donor site morbidity that can happen with the free
According to Dr.
Frederic Corbin, the scarring that can occur using a local
tissue flap surgery is generally not extensive and it remains
in the area around the nipple. This scarring can be touched
up and easily covered by either a skin graft or tattoo
to reconstruct the areola complex.
Nipple and areolar
tattooing is a commonly used by Dr.
Corbin to simply color match the nipple or nipples and
areolar complex. It is performed easily, often under local
anesthesia depending on the patients comfort level and has
little to no down time for the reconstructive patient.. Nipple
tattooing provides the patient and plastic
surgeon with a minimally invasive option to color the
nipples and areolar. In the past, some of the tattoo color
faded with time, but with newer equipment and inks the tattooed
nipples can maintain their color over time.
Nipple and areolar reconstruction are the final stage in breast
reconstruction. "It is like the icing on the cake"
according to Frederic
Corbin M. D. Based on Dr. Corbin's 20 years of experience
and surgical expertise nipple and areola reconstruction adds
to patient surgery satisfaction
and an overall sense of well being, confidence and femininity.
Breast Reconstruction - Nipple Reconstruction
For a specialist in breast
reconstruction in the California area, look to board certified
plastic surgeon, Dr. Frederick Corbin.
Dr. Corbin has been performing breast augmentation surgery, breast lift surgery, breast reduction surgery, breast enhancement surgery, breast reconstruction surgery and breast revision surgery in the Los Angeles area for over 20 years. Recognized as an expert in plastic surgery, Dr. Frederic Corbin is a board certified plastic surgeon with the American Society of Plastic and Reconstructive Surgeons.
Click for Dr.
Corbin's complete profile
Dr. Corbin practices the following breast
- Breast reconstruction - This set of procedures
is done to restore the breast following its removal during
a mastectomy. This is one of the most rewarding surgical
procedures available today, since it enables surgeons to
create a breast that closely resembles a natural breast.
For detailed information on breast
reconstruction procedures click here.
Visit our Photo Gallery for breast
reconstruction before and after photos or read
testimonials from satisfied women who have undergone breast
For more information about breast
reconstruction or other cosmetic procedures, contact Dr.
Corbin or his staff at either of his Los Angeles area offices:
Beverly Hills Office
9400 Brighton Way, Penthouse Suite
Beverly Hills, CA 90212
Phone: (310) 284-8384
400 West Central Avenue, Suite 101
Brea, CA 92821
Phone: (714) 671-3033
or by email: Click to Contact Dr. Corbin