Areola and nipple reconstruction after mastectomy: the female experience –Areola and nipple reconstruction: reconstruction of female identity–

Abstract

This study aims to elucidate the process of women undergoing areola and nipple reconstruction after a mastectomy. Semi-structured interviews were conducted with seven subjects who underwent nipple-areola reconstruction, which were then analyzed qualitatively and descriptively. The core category of identity as women with breast cancer reconstituted by areola reconstruction was extracted from the experience of women who underwent mastectomies. First, they were “disappointed about having mastectomies at an early stage of the disease”, but “decided to have a total mastectomy to prevent metastasis and recurrence.” Further, they had a “feeling of loss and discomfort,” and felt “they can’t show their breasts” at public baths or during hobbies. They engaged in self-exploration and oriented themselves. Those who had undergone nipple and areola reconstruction have a sense of value in having breasts with nipples and areolas. “It gave them support after the physical, mental, and economic burden of breast cancer treatment.” They underwent areola and papilla reconstruction to repair and maintain themself as a woman through habits and the continuation of their social life. After the areola and papilla reconstruction, “they didn’t have to worry about the scars from the mastectomy,” and “when viewed from a distance, their breasts looked natural.” As a result, they could live their lives without a sense of awareness of what other people think or that they had lost their breast due to cancer.