The use of calcium hydroxylapatite for nipple projection after failed nipple-areolar reconstruction: Early results

Karen Kim Evans, Yvonne Rasko, Joanne Lenert, Michael Olding, Richard Dabb, Robert X. Murphy

Research output: Contribution to journalArticle

Abstract

Numerous studies have shown that the final stage in breast reconstruction, creation of the nipple-areolar complex, correlates highly with patient satisfaction and acceptance of body image. There are many different techniques, including nipple sharing, free-composite grafts, and local "pull-out" flaps, all of which are vulnerable to an unpredictable degree of loss of projection and possible need for reoperation. This leads to problems with symmetry and overbuilding the initial reconstruction with wider-based, larger flaps, which may cause breast-contour changes. We have used calcium hydroxylapatite (Radiesse, Bioform Inc., Franksville, WI) following nipple-areolar reconstruction to maintain or restore projection in selected breast-reconstruction patients. Approximately 0.4-1 mL of calcium hydroxylapatite was injected subdermally using a 27-gauge needle in 6 selected patients. All patients tolerated the office procedure well without the need for local anesthesia, We report initial short-term success, with 100% patient satisfaction, minimal loss of projection, and no complications. Semipermanent injectable soft-tissue fillers such as calcium hydroxylapatite may be useful in selected patients as a simple solution to the difficult problem of the lack of nipple projection following reconstruction.

Original languageEnglish (US)
Pages (from-to)25-29
Number of pages5
JournalAnnals of Plastic Surgery
Volume55
Issue number1
DOIs
StatePublished - Jul 2005
Externally publishedYes

Fingerprint

Nipples
Durapatite
Calcium
Mammaplasty
Patient Satisfaction
Body Image
Local Anesthesia
Reoperation
Needles
Breast
Transplants
Injections

Keywords

  • Calcium hydroxyapatite
  • Nipple reconstruction

ASJC Scopus subject areas

  • Surgery

Cite this

The use of calcium hydroxylapatite for nipple projection after failed nipple-areolar reconstruction : Early results. / Evans, Karen Kim; Rasko, Yvonne; Lenert, Joanne; Olding, Michael; Dabb, Richard; Murphy, Robert X.

In: Annals of Plastic Surgery, Vol. 55, No. 1, 07.2005, p. 25-29.

Research output: Contribution to journalArticle

Evans, Karen Kim ; Rasko, Yvonne ; Lenert, Joanne ; Olding, Michael ; Dabb, Richard ; Murphy, Robert X. / The use of calcium hydroxylapatite for nipple projection after failed nipple-areolar reconstruction : Early results. In: Annals of Plastic Surgery. 2005 ; Vol. 55, No. 1. pp. 25-29.
@article{2b37b593e4a849b88999b48920bfe180,
title = "The use of calcium hydroxylapatite for nipple projection after failed nipple-areolar reconstruction: Early results",
abstract = "Numerous studies have shown that the final stage in breast reconstruction, creation of the nipple-areolar complex, correlates highly with patient satisfaction and acceptance of body image. There are many different techniques, including nipple sharing, free-composite grafts, and local {"}pull-out{"} flaps, all of which are vulnerable to an unpredictable degree of loss of projection and possible need for reoperation. This leads to problems with symmetry and overbuilding the initial reconstruction with wider-based, larger flaps, which may cause breast-contour changes. We have used calcium hydroxylapatite (Radiesse, Bioform Inc., Franksville, WI) following nipple-areolar reconstruction to maintain or restore projection in selected breast-reconstruction patients. Approximately 0.4-1 mL of calcium hydroxylapatite was injected subdermally using a 27-gauge needle in 6 selected patients. All patients tolerated the office procedure well without the need for local anesthesia, We report initial short-term success, with 100{\%} patient satisfaction, minimal loss of projection, and no complications. Semipermanent injectable soft-tissue fillers such as calcium hydroxylapatite may be useful in selected patients as a simple solution to the difficult problem of the lack of nipple projection following reconstruction.",
keywords = "Calcium hydroxyapatite, Nipple reconstruction",
author = "Evans, {Karen Kim} and Yvonne Rasko and Joanne Lenert and Michael Olding and Richard Dabb and Murphy, {Robert X.}",
year = "2005",
month = "7",
doi = "10.1097/01.sap.0000168370.81333.97",
language = "English (US)",
volume = "55",
pages = "25--29",
journal = "Annals of Plastic Surgery",
issn = "0148-7043",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - The use of calcium hydroxylapatite for nipple projection after failed nipple-areolar reconstruction

T2 - Early results

AU - Evans, Karen Kim

AU - Rasko, Yvonne

AU - Lenert, Joanne

AU - Olding, Michael

AU - Dabb, Richard

AU - Murphy, Robert X.

PY - 2005/7

Y1 - 2005/7

N2 - Numerous studies have shown that the final stage in breast reconstruction, creation of the nipple-areolar complex, correlates highly with patient satisfaction and acceptance of body image. There are many different techniques, including nipple sharing, free-composite grafts, and local "pull-out" flaps, all of which are vulnerable to an unpredictable degree of loss of projection and possible need for reoperation. This leads to problems with symmetry and overbuilding the initial reconstruction with wider-based, larger flaps, which may cause breast-contour changes. We have used calcium hydroxylapatite (Radiesse, Bioform Inc., Franksville, WI) following nipple-areolar reconstruction to maintain or restore projection in selected breast-reconstruction patients. Approximately 0.4-1 mL of calcium hydroxylapatite was injected subdermally using a 27-gauge needle in 6 selected patients. All patients tolerated the office procedure well without the need for local anesthesia, We report initial short-term success, with 100% patient satisfaction, minimal loss of projection, and no complications. Semipermanent injectable soft-tissue fillers such as calcium hydroxylapatite may be useful in selected patients as a simple solution to the difficult problem of the lack of nipple projection following reconstruction.

AB - Numerous studies have shown that the final stage in breast reconstruction, creation of the nipple-areolar complex, correlates highly with patient satisfaction and acceptance of body image. There are many different techniques, including nipple sharing, free-composite grafts, and local "pull-out" flaps, all of which are vulnerable to an unpredictable degree of loss of projection and possible need for reoperation. This leads to problems with symmetry and overbuilding the initial reconstruction with wider-based, larger flaps, which may cause breast-contour changes. We have used calcium hydroxylapatite (Radiesse, Bioform Inc., Franksville, WI) following nipple-areolar reconstruction to maintain or restore projection in selected breast-reconstruction patients. Approximately 0.4-1 mL of calcium hydroxylapatite was injected subdermally using a 27-gauge needle in 6 selected patients. All patients tolerated the office procedure well without the need for local anesthesia, We report initial short-term success, with 100% patient satisfaction, minimal loss of projection, and no complications. Semipermanent injectable soft-tissue fillers such as calcium hydroxylapatite may be useful in selected patients as a simple solution to the difficult problem of the lack of nipple projection following reconstruction.

KW - Calcium hydroxyapatite

KW - Nipple reconstruction

UR - http://www.scopus.com/inward/record.url?scp=21244496095&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=21244496095&partnerID=8YFLogxK

U2 - 10.1097/01.sap.0000168370.81333.97

DO - 10.1097/01.sap.0000168370.81333.97

M3 - Article

C2 - 15985787

AN - SCOPUS:21244496095

VL - 55

SP - 25

EP - 29

JO - Annals of Plastic Surgery

JF - Annals of Plastic Surgery

SN - 0148-7043

IS - 1

ER -