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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
[Nipple-areolar reconstruction with the modified arrow flap]
1Breast Center of Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100144, China.
Zhonghua Zheng Xing Wai Ke Za Zhi = Zhonghua Zhengxing Waike Zazhi = Chinese Journal of Plastic Surgery
|April 29, 2008
Summary
The modified arrow flap offers a simple technique for nipple-areolar reconstruction. This method provides durable nipple projection and satisfactory symmetry in breast reconstruction patients.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Nipple-areolar reconstruction is a crucial component of breast reconstruction.
- The modified arrow flap presents a novel approach to address this reconstructive challenge.
Purpose of the Study:
- To evaluate the clinical efficacy and long-term outcomes of the modified arrow flap for nipple-areolar reconstruction.
Main Methods:
- The modified arrow flap technique was applied in 12 patients undergoing nipple-areolar reconstruction.
- Treatment variations included combined thin split-thickness skin graft, autologous rib implant with tattoo, or tattoo alone.
Main Results:
- All reconstructed nipples demonstrated successful survival.
- While two cases experienced initial projection loss, ten cases maintained 50% nipple projection at three months.
- Satisfactory symmetry was observed throughout the 6-month to 1-year follow-up period.
Conclusions:
- The modified arrow flap is an easily performed technique with a favorable design and no donor site morbidity.
- It offers sustained nipple projection and good long-term aesthetic results in breast reconstruction.