[Scar-independent nipple reconstruction with two opposing flaps]

A considerable number of encouraging techniques have been developed for nipple-areola reconstruction, however partial loss of nipple projection is inevitable with any of the local flap procedure. Nipple reconstruction remains a challenge for the reconstructive surgeon especially in the case when a scar is transsecting the proposed nipple site. In an effort to solve these problems, two local opposing flaps are orientated parallel to the scar to prevent the scar from interrupting the blood supply to the flaps and are positioned on a deepithelialized corial area. This method is easy to perform also under local anaesthesia and in combination with an applied "wire champagne corkholder" the nipple remains free in an erect position, thus giving the projection desired.