Nipple migration in a pig using the technique of serial excision E. Christofides, A. Potgieter, L. Chait  British Journal of Plastic Surgery  Volume 58, Issue 7, Pages 908-913 (October 2005) DOI: 10.1016/j.bjps.2005.04.034 Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 1 Clinical photograph of the pig NPAC just prior to excision is shown above, with a diagrammatic representation below, showing the planned excision of skin only on the lateral aspect of each areola. British Journal of Plastic Surgery 2005 58, 908-913DOI: (10.1016/j.bjps.2005.04.034) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 2 Clinical photograph of the pig NPAC just prior to excision is shown above, with a diagrammatic representation below, showing the planned percentage excision of 25% pseudo-areola and 75% skin. British Journal of Plastic Surgery 2005 58, 908-913DOI: (10.1016/j.bjps.2005.04.034) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 3 Diagrammatic representation of the dimensions measured at each stage of excision. British Journal of Plastic Surgery 2005 58, 908-913DOI: (10.1016/j.bjps.2005.04.034) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 4 (A) Pig 1 prior to any excisions. The crescentic excisions are marked on the top pair of NPAC's (skin only group), and the middle tattooed pair (percentage excision). The lower tattooed pairs are controls. Lines have been drawn bilaterally through standard reference points (2nd and 5th set of teats that were not tattooed). (B) Pig 1 after all serial excisions completed. The same reference lines have been drawn as for (B) to allow for comparison. British Journal of Plastic Surgery 2005 58, 908-913DOI: (10.1016/j.bjps.2005.04.034) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 5 (A) Pig 2 prior to any excisions. The crescentic excisions are marked on the top pair of NPAC's (skin only group), and the middle tattooed pair (percentage excision). The lower tattooed pairs were used as controls. Lines have been drawn bilaterally through standard reference points (between intervening un-tattooed nipples). (B) Pig 2 after all serial excisions completed. The same reference lines have been drawn as for (A) to allow for comparison. British Journal of Plastic Surgery 2005 58, 908-913DOI: (10.1016/j.bjps.2005.04.034) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 6 42-year-old lady after breast reconstruction on the left. The NAC on the left is noted to be superolaterally misplaced. British Journal of Plastic Surgery 2005 58, 908-913DOI: (10.1016/j.bjps.2005.04.034) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 7 Superolaerally misplaced NAC on the left is now in a more favourable position following 3 serial excisions on the inferomedial aspect of the NAC. British Journal of Plastic Surgery 2005 58, 908-913DOI: (10.1016/j.bjps.2005.04.034) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 8 39-year-old lady 3 years after a bilateral breast reduction with the right NAC positioned too far laterally. British Journal of Plastic Surgery 2005 58, 908-913DOI: (10.1016/j.bjps.2005.04.034) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 9 Result after a further inferior pole reduction was performed as well as two serial excisions medially of the right NAC. British Journal of Plastic Surgery 2005 58, 908-913DOI: (10.1016/j.bjps.2005.04.034) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions