title: The "Swiss-Roll" flap: a modified C-V flap for nipple reconstruction.
abstract: Nipple reconstruction is an integral step in breast reconstruction. There are a variety of local-flap based techniques however one of the most commonly used is the C-V flap. The traditional flap forms a nipple shell composed of dermis and epidermis containing a core of subcutaneous fat. The shortcomings of this technique are that it relies on subcutaneous fat for nipple bulk and with time loses a significant part of its volume. We present a modification of the C-V flap designed for use in breasts with little subcutaneous fat in order to minimise post-operative nipple projection loss.
authors.affiliation: St Andrews Centre for Plastic Surgery and Burns, Broomfield Hospital, Court Road, Chelmsford, Essex CM1 7ET, UK. christopher.macdonald@nhs.net
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Macdonald
authors.forename: Amir
authors.initials: A
authors.lastname: Nakhdjevani
authors.forename: Amit
authors.initials: A
authors.lastname: Shah
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D009558:Nipples / Q000601:surgery*; D013524:Surgical Flaps