The C-V Flap for Nipple Reconstruction After Previous Skin-Sparing Mastectomy and Immediate Breast Reconstruction: Refinements of Donor-Site Closure

Background The C-V flap including its modifications is very popular flap used for nipple reconstruction. Methods This report describes a refinement of the C-V flap used in nipple reconstruction for patients who previously have undergone skin-sparing mastectomy and immediate breast reconstruction. Cl...

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Bibliographic Details
Published in:Aesthetic plastic surgery 2011-08, Vol.35 (4), p.624-627
Main Authors: Katerinaki, E., Sircar, T., Sterne, G. D.
Format: Article
Language:English
Subjects:
Breast - surgery
Breast Neoplasms - surgery
Female
Humans
Innovative Technique
Mammaplasty - methods
Mastectomy
Medicine
Medicine & Public Health
Nipples - surgery
Otorhinolaryngology
Plastic Surgery
Surgical Flaps
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Summary:Background The C-V flap including its modifications is very popular flap used for nipple reconstruction. Methods This report describes a refinement of the C-V flap used in nipple reconstruction for patients who previously have undergone skin-sparing mastectomy and immediate breast reconstruction. Closure of the V flap donor sites is facilitated by means of designing two opposing advancement “areolar” skin flaps. Results Our modification ensures that no “dog ears” remain after the donor sites of the two V flaps are closed and that all scarring remains within the skin paddle of the neo-areola without any extensions on the mastectomy skin flaps. Conclusion Our refinement of the closure for the donor site of the C-V flap used in nipple reconstruction produces an aesthetically pleasing result without unnecessary donor-site scar extensions on the mastectomy skin flaps.
ISSN:0364-216X
1432-5241
DOI:10.1007/s00266-011-9658-3