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Twin flap technique for nipple reconstruction

V V Ramakrishnan1, D Mohan, O Villafane

  • 1Department of Plastic Surgery, Kingston General Hospital, Hull, England.

Annals of Plastic Surgery
|November 5, 1997
PubMed
Summary

A novel two-flap technique reconstructs a natural-looking nipple using core and wrap flaps. This method is effective for nipple reconstruction on mastectomy scars.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Oncology

Background:

  • Nipple reconstruction is a crucial component of breast cancer reconstruction.
  • Existing techniques may have limitations, especially when the neo-nipple is positioned on a mastectomy scar.

Purpose of the Study:

  • To describe and evaluate a new two-local-flap technique for nipple reconstruction.
  • To assess the efficacy of this technique, particularly for reconstructions on mastectomy scars.

Main Methods:

  • A central 'core' flap is elevated and surrounded by a peripheral 'wrap' flap.
  • This two-flap design aims to create a projection resembling a natural nipple.

Main Results:

  • The technique was applied in 24 nipple reconstructions across 22 patients.

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  • Successful nipple reconstruction was achieved using this method.

    • Conclusions:

    • This two-flap technique provides a viable option for nipple reconstruction.
    • It is particularly advantageous when the neo-nipple needs to be placed over a mastectomy scar.