Nipple Reconstruction with Combination of Modified C-V Flap and Contralateral Nipple Composite Graft

Publication date: Available online 14 December 2016
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): Young Chul Kim, Ji Young Yun, Hyung Chul Lee, Ji Hong Yim, Jin Sup Eom
BackgroundNumerous nipple reconstruction methods have been proposed including use of local flaps and composite grafts, but most have shown significant loss of projection. We combined a modified C-V flap with a composite graft (nipple-sharing), in order to maximize projection and volume of the new nipple and reduce the size of the contralateral nipple.MethodsThirty 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 C-V flap was created, a composite graft from the contralateral nipple was placed between the V flaps and C flap. The loss of projection and the ratio of the new nipple to the contralateral nipple were evaluated 12 months after surgery.ResultsNipple 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; the shape improved with nipple reduction and the scar was inconspicuous.ConclusionsNipple reconstruction that combines a modified C-V flap and composite graft can maximize the nipple projection and provides a chance for nipple symmetry, as the two components will act synergistically.



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