Nipple reconstruction with combination of modified CV flap and contralateral nipple composite graft. Issue 2 (February 2017)

• Record Type: Journal Article
• Authors: Kim, Young Chul; Yun, Ji Young; Lee, Hyung Chul; Yim, Ji Hong; Eom, Jin Sup
• Is Part Of: Journal of plastic, reconstructive & aesthetic surgery. Volume 70:Issue 2(2017:Feb.)
• Page Start: 243
• Page End: 247
• Publication Date: 2017-02
• Subjects: Nipple reconstruction -- Flap -- Composite graft; Surgery, Plastic -- Great Britain -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Surgery, Plastic -- Great Britain -- Periodicals; 617.9505
• DOI: 10.1016/j.bjps.2016.11.019
• Languages: English
• ISSNs: 1748-6815

Abstract

Summary: Background: Numerous nipple reconstruction methods have been proposed including the use of local flaps and composite grafts, but most methods have shown a significant loss of projection. We combined a modified CV flap with a composite graft (nipple sharing) to maximize the projection and volume of the new nipple and reduce the size of the contralateral nipple. Methods: In total, 30 patients underwent nipple reconstruction using a combined method between January 2013 and November 2015. This technique was selected if the diameter of the contralateral nipple was large and the thickness of the skin was less than 2 mm. After the modified CV flap was created, a composite graft from the contralateral nipple was placed between the V flaps and the C flap. The loss of projection and the ratio of the new nipple to the contralateral nipple were evaluated 12 months after surgery. Results: Nipple reconstruction was successful in all cases. The projection at 12 months after reconstruction was 68% of the initial projection, and the mean projection ratio of the new nipple to the contralateral nipple was 0.81. There was no complication in the donor nipple; in fact, the shape was improved with nipple reduction, and the scar was inconspicuous. Conclusions: Nipple reconstruction that combines a modified CV flap and composite graft can maximize the nipple projection and provide a chance for nipple symmetry as the two components will act synergistically.