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The "Five-flap" Technique for Nipple-Areola Complex Reconstruction
Giuseppe Andrea Ferraro1, Giuseppe Lanzano1, Corrado Gentile1
1Plastic and Reconstructive Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy.
Plastic and Reconstructive Surgery. Global Open
|November 8, 2021
Summary
The five-flap technique offers a simple and effective method for nipple-areola reconstruction after mastectomy. This approach ensures excellent projection and patient satisfaction with minimal complications.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Oncology
Background:
- Nipple-areola reconstruction is the final stage of postmastectomy treatment.
- Current techniques lack a gold standard for optimal symmetry and projection.
- Achieving a natural-looking reconstructed nipple remains a challenge.
Purpose of the Study:
- To evaluate the efficacy of the five-flap technique for nipple-areola complex reconstruction.
- To assess nipple projection, shape, and complication rates.
- To determine patient and observer satisfaction with the reconstruction.
Main Methods:
- A cohort of 21 female patients underwent unilateral nipple-areola reconstruction using the five-flap technique.
- The technique involved a combination of local flaps and a full-thickness skin graft.
- Patients were followed for 6 months to assess nipple projection loss and overall outcomes.
Main Results:
- No cases of nipple necrosis were reported.
- Nipple projection loss was minimal (average 12%), with excellent shape maintenance.
- High satisfaction scores were reported by both patients (8.0) and observers (9.0).
Conclusions:
- The five-flap technique is a safe and effective method for nipple-areola reconstruction.
- It provides durable nipple projection and excellent aesthetic results.
- This technique is particularly suitable for patients desiring moderate to significant nipple projection.
