Dear Dr. Kalus,
Thank you for a fabulous breast augmentation. I love it, my husband loves it and my friends can't believe how natural my breasts look. I knew after our initial consultation that you were the best surgeon for me.
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(803) 733-5881

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Plastic Surgery of the Carolinas
1301 Taylor Street
Suite 10A
Columbia, SC 29201
Tel: (803) 733-5881

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Nipple Reconstruction

After breast reconstruction has been completed following mastectomy, most women prefer to complete the breast reconstruction with a nipple reconstruction. There are several methods all of which have certain advantages and disadvantages. As a rule, this is a minor outpatient procedure that may even be able to be performed in the office under local anesthesia. If there is enough skin and underlying soft tissue, you may be a suitable candidate for a flap reconstruction wherein a series of small incisions are created to allow for elevation of two or three small flaps of tissue are raised and sutured together to create a nipple.

Examples of Flap Reconstruction

Flap Reconstruction 2Flap Reconstruction 3Flap Reconstruction 4Flap Reconstruction 5

Alternatively, if the remaining nipple is of adequate size, a portion of this nipple can be borrowed as a graft and transplanted onto the reconstructed breast mound.

Examples of Opposite Nipple Composite Graft and Tattoo

DSC02030DSC02031

Finally, if there is inadequate tissue either on the reconstructed breast, or if the opposite nipple is too small to be able to borrow from, a small wedge of ear lobe, or even labia, can be used as grafts. The earlobe heals with barely a visible scar and can be subsequently re-pierced. Once the nipple reconstruction has healed, the areola is generally created by use of a natural colored pigment which is used to create a nipple/areolar tattoo on the skin surrounding the nipple.

Examples of Labia Composite

Labia Composite graft 1Labia Composite graft 2

This last option can also be used to create a two dimensional nipple areola and this option is sometimes selected for women who have had bilateral mastectomies and wish to be able to wear clothing without a bra, and not feel self conscious about protruding nipples.

Examples of Tattoo Only

Tattoo only (front)Tattoo only (side)

For more information about nipple reconstruction options, please contact our office to schedule an appointment for a consultation with Dr. Kalus.