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{"id":5050,"date":"2025-09-20T12:06:37","date_gmt":"2025-09-20T10:06:37","guid":{"rendered":"https:\/\/micheldelpe.ch\/chirurgie-esthetique\/reconstruction-mammaire\/reconstruction-areole-mamelon\/"},"modified":"2025-11-29T19:55:57","modified_gmt":"2025-11-29T18:55:57","slug":"reconstruction-areole-mamelon","status":"publish","type":"page","link":"https:\/\/micheldelpe.ch\/en\/chirurgie-esthetique\/reconstruction-mammaire\/reconstruction-areole-mamelon\/","title":{"rendered":"Areola and Nipple Reconstruction"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Advantages<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Precise and advanced surgical technique to recreate the shape and projection of the areola and nipple<\/li>\n\n\n\n<li>Most procedures avoid the need for a skin graft or harvesting tissue from the opposite nipple<\/li>\n\n\n\n<li>This is the final step in breast reconstruction, offering closure and a return to body harmony after breast cancer<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">General Overview<\/h2>\n\n\n\n<p>Areola and nipple reconstruction is a <strong>key milestone<\/strong> in the overall breast reconstruction journey. This final phase enhances the natural appearance of the reconstructed breast and contributes significantly to a sense of physical and emotional completeness.<\/p>\n\n\n\n<p>In the majority of cases, we use the <strong>skate-flap technique<\/strong>, which enables us to restore the form, volume, and projection of the areola and nipple without grafting from distant body sites.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The Skate-Flap Technique<\/h2>\n\n\n\n<p>This method involves:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Drawing two semicircles (half-areolas) on the breast, one of which includes the area for the future nipple<\/li>\n\n\n\n<li>Folding and suturing these sections toward the center<\/li>\n\n\n\n<li>Closing the peripheral area with a \u201cround-block\u201d suture to create a unified areola<\/li>\n\n\n\n<li>Final aesthetic touch: <strong>medical tattooing<\/strong>, performed one month later, to recreate the areola\u2019s natural pigmentation<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Alternative Techniques<\/h2>\n\n\n\n<p>In some cases, the <strong>skate-flap<\/strong> is not suitable\u2014typically when the breast skin is too thin. In such cases, we may:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Use a <strong>skin graft<\/strong> from the root of the thigh (a more invasive option with potential for visible scarring or unwanted hair growth)<\/li>\n\n\n\n<li><strong>Graft half of the healthy nipple<\/strong> from the opposite breast if there&#8217;s a significant size difference between nipples<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Surgical Procedure<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Performed as an <strong>outpatient surgery<\/strong><\/li>\n\n\n\n<li>Carried out under either <strong>local anesthesia with sedation<\/strong> (neuroleptanalgesia) or <strong>general anesthesia<\/strong><\/li>\n\n\n\n<li><strong>Pre-anesthesia consultation<\/strong> required at least 48 hours prior<\/li>\n<\/ul>\n\n\n\n<p><strong>Areola tattooing<\/strong> can be done in-office under local anesthesia, or in the operating room if combined with other procedures.<\/p>\n\n\n\n<p>The <strong>skate-flap technique is painless<\/strong> and requires only minimal postoperative care. No sick leave is typically required.<br>In contrast, <strong>skin graft procedures are more painful<\/strong> and usually require <strong>5 to 7 days off work<\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Our Approach<\/h2>\n\n\n\n<p>We have been using the <strong>skate-flap technique<\/strong> exclusively for the past four years due to its excellent results. It has significantly reduced the disadvantages previously seen with skin grafts, such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Visible or uncomfortable scars at the thigh donor site<\/li>\n\n\n\n<li>Hair growth on the areola requires electrolysis<\/li>\n<\/ul>\n\n\n\n<p>We reserve alternative techniques for rare, complex cases.<\/p>\n\n\n\r\n<!-- Block - FAQ -->\r\n<section class=\"faq-block\" style=\"\">\r\n            <h2>Questions \/ Answers<\/h2>\r\n                <div class=\"faq-list\">\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">When can areola and nipple reconstruction be performed?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <p>Generally, 1 month after breast volume reconstruction. However, if a breast reduction or lift is planned on the other side, it\u2019s better to wait 2\u20133 months for the final areola position to stabilize.<\/p>\n                    <\/div>\r\n                <\/details>\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">What is postoperative care like?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <ul>\n<li>Gentle disinfection of the scar<\/li>\n<li>Protective compress with a hole in the center to avoid pressure on the new nipple<\/li>\n<li>Application of Mepilex Border Flex dressing for 2 days to allow for showering<\/li>\n<\/ul>\n                    <\/div>\r\n                <\/details>\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">Can this be combined with other procedures?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <p>Yes. Areola and nipple reconstruction is often performed alongside symmetrization procedures (e.g., reduction or lift of the contralateral breast), or with lipofilling (fat grafting) to refine the upper breast contour or cleavage.<\/p>\n                    <\/div>\r\n                <\/details>\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">How much does it cost?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <ul>\n<li>The procedure is covered by French health insurance<\/li>\n<li>However, additional fees apply, ranging from \u20ac800 to \u20ac1,200, depending on the technique<\/li>\n<li>Tattooing costs \u20ac500 per session, with 1 to 2 sessions typically required<\/li>\n<\/ul>\n                    <\/div>\r\n                <\/details>\r\n                    <\/div>\r\n    <\/section>\n\n\n<!-- Block - Gallery -->\n<section class=\"gallery-block js-alwaysInView\" style=\"\">\n            <h2>Before &#038; After Results<\/h2>\n                <div class=\"introduction formatted\"><p>Dr. Benjoar and Dr. Berdah have performed areola and nipple reconstructions for over 20 years.<br \/>\nYou can view a gallery of before-and-after photos showcasing their natural, discreet results.<\/p>\n<\/div>\n            <div class=\"galleries-wrapper\">\r\n        <div class=\"swiper gallery\" aria-label=\"Reconstruction du mamelon et de l\u2019ar\u00e9ole : photos avant apr\u00e8s\">\r\n            <div class=\"swiper-wrapper\">\r\n                                    <figure class=\"swiper-slide\">\r\n                        <img decoding=\"async\" src=\"https:\/\/micheldelpe.ch\/wp-content\/uploads\/2025\/09\/areole-tatouage.png\" alt=\"\" \/>\r\n                    <\/figure>\r\n                            <\/div>\r\n            <div class=\"swiper-button-prev\"><\/div>\r\n            <div class=\"swiper-button-next\"><\/div>\r\n            <div class=\"controls\">\r\n                <div class=\"swiper-pagination\"><\/div>\r\n                <button class=\"js-maximize\" aria-label=\"Open fullscreen\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#000000\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M15 3h6v6M14 10l6.1-6.1M9 21H3v-6M10 14l-6.1 6.1\"\/><\/svg><\/button>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"fullscreen-modal hidden\" role=\"dialog\" aria-modal=\"true\" aria-label=\"Fullscreen gallery\">\r\n            <div class=\"fullscreen-modal-content\">\r\n                <div class=\"swiper fullscreen-gallery\" aria-label=\"Reconstruction du mamelon et de l\u2019ar\u00e9ole : photos avant apr\u00e8s\">\r\n                    <div class=\"swiper-wrapper\">\r\n                                                    <figure class=\"swiper-slide\">\r\n                                <img decoding=\"async\" src=\"https:\/\/micheldelpe.ch\/wp-content\/uploads\/2025\/09\/areole-tatouage.png\" alt=\"\" \/>\r\n                                                            <\/figure>\r\n                                            <\/div>\r\n                    <div class=\"swiper-button-prev\"><\/div>\r\n                    <div class=\"swiper-button-next\"><\/div>\r\n                    <div class=\"controls\">\r\n                        <div class=\"swiper-pagination\"><\/div>\r\n                        <button class=\"js-minimize\" aria-label=\"Close fullscreen\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#000000\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M4 14h6v6M3 21l6.1-6.1M20 10h-6V4M21 3l-6.1 6.1\"\/><\/svg><\/button>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Advantages General Overview Areola and nipple reconstruction is a key milestone in the overall breast reconstruction journey. This final phase enhances the natural appearance of the reconstructed breast and contributes significantly to a sense of physical and emotional completeness. In the majority of cases, we use the skate-flap technique, which enables us to restore the [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":1644,"parent":2197,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/domain-single.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-5050","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages\/5050","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/comments?post=5050"}],"version-history":[{"count":0,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages\/5050\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages\/2197"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/media\/1644"}],"wp:attachment":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/media?parent=5050"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}