Quadruped and Dermal Bridge Flap for Nipple Reconstruction

Area of Science:

• Plastic Surgery
• Reconstructive Surgery

Background:

• A novel nipple reconstruction method has been developed and refined over a decade.
• This technique addresses aesthetic and functional outcomes in post-mastectomy patients.

Purpose of the Study:

• To describe and evaluate a new nipple reconstruction technique.
• To assess the long-term projection and scar visibility of the reconstructed nipple.

Main Methods:

• The procedure involves creating a "birdcage-like" dermal flap tower with a cartilage core.
• Dermal flaps are elevated and sutured to form a pocket, with auricular cartilage placed inside.
• The technique was applied to 39 patients, with detailed measurements of nipple projection and follow-up.

Main Results:

• The reconstructed nipple projection averaged 4.4 mm, with a maintenance rate of 48.4% over a mean follow-up of 25.7 months.
• Initial cases required adjustments for size, and one experienced cartilage exposure.
• Scars were effectively concealed within the periareolar region, suitable for tattooing.

Conclusions:

• The described nipple reconstruction method provides stable projection and good scar camouflage.
• The "birdcage-like" flap and cartilage support contribute to aesthetic results.
• This technique is recommended for patients seeking nipple reconstruction after mastectomy.