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Nipple reconstruction with C-v flap using dermofat graft.
Annals of Plastic Surgery 2007 Februrary
Aesthetically satisfying nipple restoration plays an important role in postmastectomy breast reconstruction. Many techniques, such as the skate flap, star flap, C-V flap, S-flap, and double-opposing tab flaps are currently employed in nipple reconstruction. Recent additions to the repertoire of nipple reconstruction include a spiral flap made of residual scar tissue and tissue engineering. These last 2 procedures have an added advantage of minimizing donor-site morbidity. The ideal method for nipple reconstruction would maintain long-term nipple projection, texture, color, and shape and have minimal donor-site morbidity. Despite the plethora of techniques available, a simple and reliable method that maintains nipple projection remains elusive. In this paper, we outline a simple technique that maintains long-term nipple projection. To this end, we have performed local C-V flaps augmented with autologous dermofat grafts harvested from excised breast tissues during breast mound revision.
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