The angel flap for nipple reconstruction.

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Aesthetic Surgery

Background:

• Nipple reconstruction is crucial for patient satisfaction in breast reconstruction.
• Current techniques often result in significant postoperative loss of nipple projection.
• There is a need for methods that provide durable nipple projection with minimal donor site morbidity.

Purpose of the Study:

• To introduce and describe the angel flap technique for nipple reconstruction.
• To achieve long-lasting nipple projection.
• To minimize donor site morbidity and scar extension.

Main Methods:

• The angel flap technique involves de-epithelializing lateral flap edges and the area around the nipple top.
• Flaps are wrapped to create a nipple mound primarily composed of dermis.
• The technique focuses on decreasing fat and enhancing dermal content within the nipple core.

Main Results:

• The angel flap technique is designed to provide lasting nipple projection.
• The method aims to prevent unnecessary extension of incision scars within the areolar area.
• This approach addresses the limitations of current techniques regarding projection loss.

Conclusions:

• The angel flap technique effectively achieves adequate and long-lasting nipple projection.
• It minimizes donor site morbidity and avoids superfluous scar extension.
• This method represents a significant advancement in nipple reconstruction for breast reconstruction patients.