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Nipple reconstruction with a modified S-flap technique

C Lossing1, S Brongo, H Holmström

  • 1Department of Plastic Surgery, Sahlgrenska University Hospital, Göteborg, Sweden.

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
|October 24, 1998
PubMed
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This study evaluated a modified S-flap technique for nipple reconstruction in 21 women. While patients reported high satisfaction, outcomes showed variable projection and sensation, with some flap necrosis.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Oncology

Background:

  • Nipple reconstruction is a crucial component of breast reconstruction after mastectomy.
  • The S-flap technique offers a method for creating a projected nipple using local skin flaps.

Purpose of the Study:

  • To assess the outcomes of a modified S-flap technique for nipple reconstruction.
  • To evaluate nipple projection, sensation, color, and patient satisfaction.

Main Methods:

  • A modified S-flap method using two local opposing skin flaps was employed.
  • Twenty-one women underwent nipple reconstruction, totaling 25 reconstructed nipple areola complexes (NAC).
  • Patients were evaluated 29-46 months post-surgery for projection, size, sensation, and color, and completed a satisfaction questionnaire.

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Main Results:

  • Mean nipple projection was 3.9 mm.
  • Five patients experienced skin flap necrosis.
  • One-third of reconstructed nipples regained some sensation, while two-thirds appeared pale.
  • Patient satisfaction with the final result averaged 8.2/10 on a visual analogue scale.

Conclusions:

  • The modified S-flap technique can achieve satisfactory nipple projection and high patient satisfaction.
  • Potential complications include skin flap necrosis, and outcomes regarding sensation and color can be variable.
  • Further research may optimize this technique for improved aesthetic and sensory results.