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Comparative Analysis of Nipple Reconstruction Techniques: Five Flap vs. C-V Flap
Giuseppe Andrea Ferraro1, Francesco Paolo Gesuete1, Marcello Molle1
1Plastic and Reconstructive Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy.
The five-flap technique for nipple reconstruction after mastectomy shows superior results compared to the C-V Flap, with significantly less nipple projection loss and no necrosis. This breast reconstruction method offers a safe and effective option for patients.
Area of Science:
- Plastic Surgery
- Oncology
- Reconstructive Surgery
Background:
- Nipple-areola complex reconstruction is the final stage of post-mastectomy care.
- No single technique is universally accepted for breast reconstruction.
- This study compares the five-flap and C-V Flap techniques.
Purpose of the Study:
- To compare the efficacy of the five-flap and C-V Flap techniques for nipple reconstruction.
- To assess nipple projection loss and patient satisfaction after mastectomy.
Main Methods:
- 100 female patients undergoing unilateral mastectomy were divided into two groups (50 each).
- Group A received the five-flap technique; Group B received the C-V Flap technique.
- Outcomes were assessed over 6 months, focusing on nipple projection and satisfaction.
Main Results:
- The five-flap technique had 0% necrosis, while C-V Flap had 10% partial and 4% total necrosis.
- Nipple projection loss was 13% with five-flap vs. 30% with C-V Flap at 1 year.
- Both techniques achieved high patient and observer satisfaction scores.
Conclusions:
- The five-flap technique is a safe and effective method for nipple reconstruction.
- It demonstrates superior outcomes in terms of nipple projection and viability compared to the C-V Flap.
