Yin-Yang NAC sharing: Full-thickness split graft from a single NAC for bilateral immediate reconstruction after skin-reducing mastectomy.

Gian Piero Mantovani, Claudio Gio Francesco Blessent, Gianmarco Paolo Federici, Filippo Taccioli, Massimo Pinelli

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In one paragraph

Article in JPRAS open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Gian Piero MantovaniDepartment of Plastic Surgery, Policlinico di Modena, University of Modena and Reggio Emilia, 41124 Modena, Italy.

Claudio Gio Francesco BlessentDepartment of Plastic Surgery, Policlinico di Modena, University of Modena and Reggio Emilia, 41124 Modena, Italy.

Gianmarco Paolo FedericiDepartment of Plastic Surgery, Policlinico di Modena, University of Modena and Reggio Emilia, 41124 Modena, Italy.

Filippo TaccioliDepartment of Plastic Surgery, Policlinico di Modena, University of Modena and Reggio Emilia, 41124 Modena, Italy.

Massimo PinelliDepartment of Plastic Surgery, Policlinico di Modena, University of Modena and Reggio Emilia, 41124 Modena, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nipple-areola complex (NAC) reconstruction significantly contributes to postmastectomy body image and patient satisfaction. While nipple sharing has been described in delayed settings, its application in immediate reconstruction after skin-reducing mastectomy (SRM) is limited. We report the case of a 32-year-old BRCA1+ patient undergoing bilateral SRM with immediate implant-based reconstruction, in which a novel Yin-Yang nipple grafting technique was performed using the hypertrophic contralateral nipple. The donor nipple was harvested as a full-thickness non-vascularized graft, divided along a curved Yin-Yang fashion, and both halves were reshaped and grafted bilaterally to create two circular, natural-looking NACs. At the 6-month follow-up, the grafts showed complete take, satisfactory projection, and pigmentation. This report illustrates the feasibility and limitations of one-stage NAC reconstruction using a non-vascularized nipple graft technique in a selected patient undergoing SRM.

Indexed as

Breast reconstructionNAC reconstructionNipple graftSkin-reducing mastectomyYin–Yang nipple technique

Identifiers

PMID41362495

DOI10.1016/j.jpra.2025.10.029

PMCPMC12682058

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