Dermopigmentation of the nipple-areola complex in a dedicated breast cancer centre, following the Treviso Hospital (Italy) LILT model

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Abstract

Background. Dermopigmentation, also known as medical tattooing, is a complementary technique in the reconstruction of the nipple-areola and an adjuvant procedure to improve colour mismatch.  In 2009, tattooing of the nipple-areola complex (NAC) was introduced by Treviso Hospital through a project conducted in cooperation with the local section of the Italian Anti-Cancer League (LILT).

Methods. From 2010 to 2016, 169 patients treated for breast cancer underwent dermopigmentation treatments. Patients were selected by the hospital plastic and breast surgeons. Dermopigmentation was performed at the LILT facility following a specific procedure to ensure safety. A sterile disposable surgical set was used.

Results. Of 169 patients treated in 309 treatment sessions, no serious complications were reported after tattooing, with only three cases seen of minor complications. Patients expressed a high level of satisfaction (90%) with the aesthetic results.

Conclusion. The study found that dermopigmentation of the NAC is a safe approach, providing  benefits both to the patients and the hospital itself. Medical tattooing of the NAC is a simple and safe nonsurgical technique that reduces missed workdays and increases the time available for other commitments. This ultimately translates into savings for society and the healthcare system.

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Authors

Alessandro Gava - Radiotherapy Department Treviso Hospital - Azienda ULSS 2 Marca Trevigiana, Italy

Antonia Pirrera - Istituto Superiore di Sanità https://orcid.org/0000-0002-0215-4842

Alessandra De Dominicis

Rita Molinaro - Expert consultant in medical tattooing for LILT (Lega Italiana per la Lotta contro i Tumori), Treviso, Italy

Alessandra Lepri - National Centre for Control and evaluation of medicines, Istituto Superiore di Sanità, Rome, Italy

Carmine Guarino - USMAF-SASN Ministry of Health, Rome, Italy

Christian Rizzetto - Breast Surgery Department Treviso Hospital - Azienda ULSS 2 Marca Trevigiana, Italy

Giorgio Berna - Plastic Surgery Department Treviso Hospital- Azienda ULSS 2 Marca Trevigiana, Italy

Alberto Renzoni - National Centre for Innovative Technologies in Public Health, Istituto Superiore di Sanità, Rome, Italy

How to Cite
Gava, A., Pirrera, A., De Dominicis, A., Molinaro, R., Lepri, A., Guarino, C., Rizzetto, C., Berna, G., & Renzoni, A. (2020). Dermopigmentation of the nipple-areola complex in a dedicated breast cancer centre, following the Treviso Hospital (Italy) LILT model. Annali dell’Istituto Superiore Di Sanità, 56(4), 444-451. Retrieved from https://annali.iss.it/index.php/anna/article/view/1147
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