Nipple reconstruction with C-v flap using dermofat graft.
Aesthetically satisfying nipple restoration plays an important role in postmastectomy breast reconstruction. Many techniques, such as the skate flap, star flap, C-V flap, S-flap, and double-opposing tab flaps are currently employed in nipple reconstruction. Recent additions to the repertoire of nipple reconstruction include a spiral flap made of residual scar tissue and tissue engineering. These last 2 procedures have an added advantage of minimizing donor-site morbidity. The ideal method for nipple reconstruction would maintain long-term nipple projection, texture, color, and shape and have minimal donor-site morbidity. Despite the plethora of techniques available, a simple and reliable method that maintains nipple projection remains elusive. In this paper, we outline a simple technique that maintains long-term nipple projection. To this end, we have performed local C-V flaps augmented with autologous dermofat grafts harvested from excised breast tissues during breast mound revision.
Eo
SuRak
S
Department of Plastic and Reconstructive Surgery, DongGuk University Hospital, IlSan, GyeongGi do, South Korea.
Kim
Steve S
SS
Da Lio
Andrew L
AL
D000273:Adipose Tissue / Q000637:transplantation*; D001943:Breast Neoplasms / Q000601:surgery; D004954:Esthetics; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D009558:Nipples / Q000601:surgery*; D012086:Reoperation; D013524:Surgical Flaps; D013536:Suture Techniques