Answer:
Acutely, the breast bud tissue should be preserved by allowing the
eschar surrounding the nipple to demarcate completely and then excised
tangentially to viable tissue. A conservative approach is essential for
maximizing the chances of breast development. Contractures of the anterior
chest wall should be released when they restrict the normal growth of pubescent
breast. Transposition flaps or skin grafts can be used. Contracture
release of the breast mound should be completed and fully settled (6-12
months) prior to nipple-areola reconstruction. If one nipple and areola
has been spared it can be used for nipple-areola reconstruction.