Nipple Reconstruction Using a Scar-Based Modified C-V Flap.
10.14730/aaps.2016.22.3.122
- Author:
Won Chul CHOI
1
;
Hyun Gon CHOI
;
Jee Nam KIM
;
Myung Chul LEE
;
Dong Hyeok SHIN
;
Soon Heum KIM
;
Cheol Keun KIM
;
Dong In JO
Author Information
1. Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea. 20040059@kuh.ac.kr
- Publication Type:Original Article
- Keywords:
Mammaplasty;
Nipples;
Reconstructive surgical procedures
- MeSH:
Cicatrix;
Female;
Follow-Up Studies;
Humans;
Mammaplasty;
Mastectomy;
Methods;
Necrosis;
Nipples*;
Reconstructive Surgical Procedures;
Surgeons;
Wounds and Injuries
- From:Archives of Aesthetic Plastic Surgery
2016;22(3):122-128
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Numerous techniques have emerged for nipple-areolar complex (NAC) over the years. Scar-based modified C-V flap technique is a new method for creating NAC, surgeons can accomplish nipple reconstruction and scar revision simultaneously. This article described the modified C-V flap technique for nipple reconstruction. This modified method is simple and reliable with good outcome. METHODS: To evaluate the effectiveness of our technique, we reviewed 21 patients who underwent nipple reconstruction using the scar-based modified C-V flap technique. For scar-based modified C-V flap, a C flap was designed to match the contralateral nipple in width while a V flap including scar after mastectomy was designed. The flap pedicle was centrally located. The V flap was then fixed surrounding the central part with a proper shape and volume considering the distal part of the flap that had poor vascularization. RESULTS: The average age of the 21 patients was 48.4 years. The average length of follow up was 7.4 months. Complication rate was 19.0% including projection loss in 2 cases, tip necrosis in 1 case, postoperative infection in 1 case, and wound dehiscence in 1 case. Re-operations were performed for 2 cases of projection loss, 1 case of partial flap necrosis, and 1 case of wound dehiscence. CONCLUSIONS: The scar-based modified C-V flap technique is a simple and reliable method for nipple reconstruction with aesthetic outcome. Patients who have undergone this surgical technique tend to have great satisfaction with the results.
