This involves the creation of a nipple areolar mound and pigment to replace that removed by mastectomy.
Patients having a mastectomy will have the nipple removed at the time of their mastectomy. A nipple can be reconstructed after breast reconstruction. This is usually performed 3 to 6 months after the breast reconstruction.
The procedure can be performed as a day case and under local anaesthetic. It may be performed at the same time as a balancing operation is performed on the opposite breast (if required).
The operation involves raising local tissues as a flap to create a nipple mound. A dressing is applied for 1 week and at the end of that time the stitches are removed. The areolar (pigment around the nipple) is then tattooed on at a later stage.