A Periareolar Approach for Skin Cancer Adjacent Nipple–Areolar Complex

Summary:. The periareolar approach has been successfully used in our cosmetic patients, including cases of mastopexy, breast reduction, and severe gynecomastia surgery, demonstrating its efficacy in achieving favorable cosmetic outcomes. However, so far in the English literature, there is no report...

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Main Authors: Tuan-Anh Bui, MD, Hsiang-Shun Shih, MD, Seng-Feng Jeng, MD
Format: Article
Language:English
Published: Wolters Kluwer 2025-05-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006778
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author Tuan-Anh Bui, MD
Hsiang-Shun Shih, MD
Seng-Feng Jeng, MD
author_facet Tuan-Anh Bui, MD
Hsiang-Shun Shih, MD
Seng-Feng Jeng, MD
author_sort Tuan-Anh Bui, MD
collection DOAJ
description Summary:. The periareolar approach has been successfully used in our cosmetic patients, including cases of mastopexy, breast reduction, and severe gynecomastia surgery, demonstrating its efficacy in achieving favorable cosmetic outcomes. However, so far in the English literature, there is no report of using this technique for the reconstruction of skin cancer adjacent to the nipple–areolar complex. A 58-year-old woman presented with basal cell carcinoma on the skin of her right breast, adjacent to the areola. The tumor, measuring 4 × 4 cm, was surgically excised with clear margins. Reconstruction was performed using a periareolar approach, using a purse-string suture technique reinforced with subcutaneous buried sutures to minimize tension instead of using a skin graft or local flap for reconstruction. This method aimed to achieve minimal external scarring by camouflaging the scar at the junction between the chest skin and the nipple–areolar complex.
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series Plastic and Reconstructive Surgery, Global Open
spelling doaj-art-408ca8d7093e4ea09f16c62df00d36902025-08-20T03:48:22ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-05-01135e677810.1097/GOX.0000000000006778202505000-00052A Periareolar Approach for Skin Cancer Adjacent Nipple–Areolar ComplexTuan-Anh Bui, MD0Hsiang-Shun Shih, MD1Seng-Feng Jeng, MD2From the * Department of Plastic Surgery, Hong Ngoc - Phuc Truong Minh General Hospital, Hanoi, Vietnam† Department of Plastic Surgery E-Da Hospital, I-Shou University, Kaohsiung City, Taiwan.† Department of Plastic Surgery E-Da Hospital, I-Shou University, Kaohsiung City, Taiwan.Summary:. The periareolar approach has been successfully used in our cosmetic patients, including cases of mastopexy, breast reduction, and severe gynecomastia surgery, demonstrating its efficacy in achieving favorable cosmetic outcomes. However, so far in the English literature, there is no report of using this technique for the reconstruction of skin cancer adjacent to the nipple–areolar complex. A 58-year-old woman presented with basal cell carcinoma on the skin of her right breast, adjacent to the areola. The tumor, measuring 4 × 4 cm, was surgically excised with clear margins. Reconstruction was performed using a periareolar approach, using a purse-string suture technique reinforced with subcutaneous buried sutures to minimize tension instead of using a skin graft or local flap for reconstruction. This method aimed to achieve minimal external scarring by camouflaging the scar at the junction between the chest skin and the nipple–areolar complex.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006778
spellingShingle Tuan-Anh Bui, MD
Hsiang-Shun Shih, MD
Seng-Feng Jeng, MD
A Periareolar Approach for Skin Cancer Adjacent Nipple–Areolar Complex
Plastic and Reconstructive Surgery, Global Open
title A Periareolar Approach for Skin Cancer Adjacent Nipple–Areolar Complex
title_full A Periareolar Approach for Skin Cancer Adjacent Nipple–Areolar Complex
title_fullStr A Periareolar Approach for Skin Cancer Adjacent Nipple–Areolar Complex
title_full_unstemmed A Periareolar Approach for Skin Cancer Adjacent Nipple–Areolar Complex
title_short A Periareolar Approach for Skin Cancer Adjacent Nipple–Areolar Complex
title_sort periareolar approach for skin cancer adjacent nipple areolar complex
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006778
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