In this Edition

Dr. James Rosing's interview on the tests of the Nipple Guard at Stanford Medical Center.


James Rosing, MD
Stanford University
Medical
Center


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   In the September 2007 edition of Self Asteame Magazine we cast a bright light on one of the least talked about aspects of breast reconstruction surgery after a mastectomy to treat breast cancer: namely, that the newly created nipple typically flattens within weeks or months after nipple reconstruction surgery.

Complete nipple flattening may occur as a result of one, or a combination of factors. First, compressive forces, for example, from wearing a bra, add up over time and flatten the nipple into the breast mound. Second, pulling forces on the nipple originating from the scar tissue in the stitched area of the skin from which the nipple was formed may retract the nipple into the breast mound. Finally, excessive tightness in the breast mound may make it difficult for the surgeon to accumulate enough tissue to form a new nipple having an adequate initial protrusion.

In this edition of Self Asteame Magazine, we examine the physical characteristics of nipple flattening with Dr. James Rosing of the Plastic & Reconstructive Surgery Clinic at Stanford University, Palo Alto, CA.

Along with Gordon Lee MD, Dr. Rosing is leading a clinical study that evaluates the effectiveness of Asteame Medical Device’s Nipple Guard in preserving nipple projection.

 

 

This is the first of a series of articles that are expected to highlight the results of Dr. Lee’s and Dr. Rosing’s clinical tests of the Nipple Guard.

Good morning Dr. Rosing.  Please describe the objective of your study.

Our study evaluates the effectiveness of the Asteame Nipple Guard, a post-operative dressing that protects the reconstructed nipple from direct pressure, and hence, is meant to preserve nipple projection.

How are the tests designed?

We performed a prospective randomized clinical control study to compare nipple projection of patients with the Nipple Guard to those without (controls). We measured projection and diameter at post-operative day zero, 1 week, 4 weeks, 8 weeks, and 6 months. At each time point, we express percent change as current nipple projection divided by starting nipple projection (at time of operation).

How many surgeons contributed patients to the study?

Three.

Which reconstruction techniques did the surgeons use to create the nipple?