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NCCN Guidelines for Patients


Breast Cancer - Carcinoma in Situ

(stage 0)

, Version 1.2016



Breast reconstruction

Implants and flaps

Some breasts are reconstructed with both

implants and flaps. Using both types may give the

reconstructed breast more volume and help match

its shape to the other breast. However, for any

reconstruction, you may need surgery on your real

breast so that the two breasts match in size and


Nipple replacement

Like your breast, you can have your nipple remade,

use a fake nipple, or do nothing. The plastic surgeon

can recreate a nipple mound with the surrounding

tissues or, sometimes, tissue can be moved from

other parts of your body, such as your thigh, other

nipple, or female parts between your legs (vulva).

You may lose feeling in your real nipple if tissue is

removed. Tissue used from other areas of your body

to make a nipple can be darkened in color with a


Figure 3.4 Breast reconstruction

Breast implants and flaps are the two main methods used for breast reconstruction

following mastectomy. Implants are small bags filled with salt water, silicone gel, or both

that are placed under your breast skin and muscle. Flaps are tissue taken from your belly

area, butt, or from under your shoulder blade to form breasts.