Nipple Reconstruction Using a Scar-Based Modified C-V Flap
Archives of Aesthetic Plastic Surgery
;
: 122-128, 2016.
Article
in English
| WPRIM
| ID: wpr-93270
ABSTRACT
BACKGROUND:
Numerous techniques have emerged for nipple-areolar complex (NAC) over the years. Scar-based modified C-V flap technique is a new method for creating NAC, surgeons can accomplish nipple reconstruction and scar revision simultaneously. This article described the modified C-V flap technique for nipple reconstruction. This modified method is simple and reliable with good outcome.METHODS:
To evaluate the effectiveness of our technique, we reviewed 21 patients who underwent nipple reconstruction using the scar-based modified C-V flap technique. For scar-based modified C-V flap, a C flap was designed to match the contralateral nipple in width while a V flap including scar after mastectomy was designed. The flap pedicle was centrally located. The V flap was then fixed surrounding the central part with a proper shape and volume considering the distal part of the flap that had poor vascularization.RESULTS:
The average age of the 21 patients was 48.4 years. The average length of follow up was 7.4 months. Complication rate was 19.0% including projection loss in 2 cases, tip necrosis in 1 case, postoperative infection in 1 case, and wound dehiscence in 1 case. Re-operations were performed for 2 cases of projection loss, 1 case of partial flap necrosis, and 1 case of wound dehiscence.CONCLUSIONS:
The scar-based modified C-V flap technique is a simple and reliable method for nipple reconstruction with aesthetic outcome. Patients who have undergone this surgical technique tend to have great satisfaction with the results.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Wounds and Injuries
/
Follow-Up Studies
/
Cicatrix
/
Mammaplasty
/
Plastic Surgery Procedures
/
Surgeons
/
Mastectomy
/
Methods
/
Necrosis
/
Nipples
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Archives of Aesthetic Plastic Surgery
Year:
2016
Type:
Article
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