Implant-based Cryopreserved Autologous Free Nipple Grafting for Breast Reconstruction: The ICEBERG Technique

Nipple creation is generally the final step of breast reconstruction. However, patients many times forego this procedure due to reconstructive fatigue. Herein, we describe a technique of harvesting the nipple-areola complex as a full-thickness skin graft during the initial mastectomy with direct-to-implant reconstruction, storing the harvested nipple tissue at -80°C, and then placing the nipple as a skin graft 2 weeks after the initial mastectomy. This method, termed the implant-based cryopreserved autologous free nipple grafting for breast reconstruction technique, serves as a feasible and shorter alternative to traditional procedures. The implant-based cryopreserved autologous free nipple grafting for breast reconstruction technique can, therefore, reduce the longevity of the reconstructive journey for patients.