title: Reconstruction of Areolar Projection Using a Purse-String Suture Technique.
abstract: BACKGROUND
  Nipple-areolar complex creation is the last step in the breast reconstruction process and plays a significant role in patients' overall satisfaction. Although numerous surgical techniques have been described to create the nipple, very few procedures address the natural contour of the areola.
  
  
  METHODS
  We describe a surgical technique using a purse-string suture for improved areolar projection. After creation of nipple-areolar complex using a CV flap, evenly spaced stab incisions are made in a circular pattern, approximately 5 mm outside of the boundary of the proposed areola. Using these incisions, a nonabsorbable purse-string suture is placed in the deep dermis. The diameter is cinched down to the desired measurement, providing areolar projection.
  
  
  RESULTS
  Our experience using this technique has provided a satisfactory and stable projection of the areola in 10 patients with at least 1 year follow-up for each patient. There was no spitting of purse-string sutures in any of these patients, and there was no late areolar widening after at least 1 year follow-up. This provides a means for symmetry with an unreconstructed contralateral side.
  
  
  CONCLUSIONS
  Improving aesthetic outcomes for areola reconstruction may further refine our goals of an ideal breast reconstruction.
authors: Division of Plastic Surgery, Brigham and Women's Hospital, Boston, Mass.
authors: Stephanie A
authors: SA
authors: Caterson
authors: Division of Plastic Surgery, Brigham and Women's Hospital, Boston, Mass.
authors: Mansher
authors: M
authors: Singh
authors: Division of Plastic Surgery, Brigham and Women's Hospital, Boston, Mass.
authors: Simon G
authors: SG
authors: Talbot
authors: Division of Plastic Surgery, Brigham and Women's Hospital, Boston, Mass.
authors: Elof
authors: E
authors: Eriksson