The Mini–Wise Pattern Nipple-Share Technique for Enhanced Nipple Reconstruction

Nipple-areola complex reconstruction is a critical component of postmastectomy breast reconstruction, with a significant impact on patient satisfaction. Traditional techniques, such as flap-based methods and nipple grafting, can be limited by suboptimal long-term nipple projection, the lack of natural pigmentation, and the presence of surrounding scars. This article describes the mini-Wise pattern nipple-share technique, a modified surgical approach designed to address these challenges. Particularly suited for skin-sparing and areola-sparing mastectomies, this technique preserves native pigmentation and, for areola sparing, eliminates the need for postreconstruction tattooing. It avoids full-thickness incisions in hostile recipient milieus, including radiated skin and prepectoral alloplastic reconstructions. "Discarding nothing that could be useful," the mini-Wise pattern nipple-share technique not only results in an aesthetically pleasing donor site, but also maximizes available tissue by borrowing from traditional 3-dimensional concepts to create a sustainable projection of both the donor and recipient.