[Corrective interventions of the breast]. / Korrigierende Eingriffe an der Mamille.

The shape, size and location of the nipple and areola are the points that distinguish and ideal-looking breast. Tuberous deformity, inverted nipple and excess of areola tissue are congenital anomalies of the breast. Surgical correction is indicated especially in a case of asymmetry. Acquired malformations of the nipple-areola complex can be the result of injuries or surgical treatment like breast reduction. In this cases a surgical correction improves the result. Some representative cases are demonstrated.

[A new technic of nipple reconstruction]. / Eine neue Technik der Mamillenrekonstruktion.

Many methods of reconstruction of the nipple have been described in the last few years, but none are completely satisfactory. The main objectives are reconstruction, size, forward projection of the nipple, and pigmentation of the areola comparable to the other side. The combination of a local dermal flap and a full-thickness skin graft from the inner thigh provides a solution to the problem while avoiding any interference with the opposite nipple.

[Possibilities of the covering of scalp defects after injury or tumor resection]. / Möglichkeiten der Defektdeckung am Schädeldach nach Traumen oder ausgedehnten Tumorresektionen.

The coverage of extensive defects of the scalp is sometimes a problem. In some clinical cases the methods of definitive coverage are shown. Microsurgery permits the replantation of a scalp or the coverage of a defect with a free flap. A new technique consists in the use of a tissue expander to stretch the remaining scalp.