PMC2639561_01
Congenital abnormality known as nipple dichotomy or intra-areolar polythelia (description in the text).
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F1
The patient, a 73 year-old Caucasian woman, was born with a supernumerary nipple within a unique areola in her right breast, which was never reported to the physician, though she occasionally complained with a burning tenderness in that area, due to the contact with the bra (Fig. 1).
Excision of the nipple-areola complex along with underlying parenchyma (central quadrantectomy); the lower skin circle will replace the excised areola.
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F2
The NAC with the underlying cylinder of parenchyma is completely excised, while the skin-glandular flap mobilized from the inferior lateral pole of the residual gland is used to create the new areola (Fig. 2).
Results at 6 months after surgery.
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F3