Nipple reconstruction with four-lobe composite auricular graft.
A new method of nipple reconstruction using a four-lobe free composite graft from the inferior pole of the earlobe in the shape of a clover leaf is described. Invagination of the flaps achieves long-term nipple projection without flattening. Donor deformity has been negligible and ear piercing has been preserved when desired. The transposed grafts have retained the pinkish appearance of the vascular donor sites. Color has blended well with the pigmented areolar grafts.
D001940:Breast / Q000601:surgery*; D004431:Ear, External; D006801:Humans; D008722:Methods; D009558:Nipples / Q000601:surgery*; D016038:Skin Transplantation; D013524:Surgical Flaps