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01.09.2009 | Original Article | Ausgabe 5/2009

Aesthetic Plastic Surgery 5/2009

Nipple Reconstruction with Bipedicled Dermal Flap: A New and Easy Technique

Zeitschrift:
Aesthetic Plastic Surgery > Ausgabe 5/2009
Autoren:
Gursel Turgut, Bulent Sacak, Tahsin Görgülü, Aysin K. Yesilada, Lutfu Bas

Abstract

Background

Nipple reconstruction is the last step in breast reconstruction. An entirely satisfying breast reconstruction can be achieved only with a symmetrically placed and ideally shaped nipple-areola complex. Several techniques and modifications have been described for nipple-areola reconstruction but long-term projection loss is still a problem in nipple reconstruction.

Methods

Between January 2005 and October 2008, 13 female patients underwent 19 nipple reconstructions in our department. Among these patients, seven underwent breast reconstruction with a DIEP flap following unilateral mastectomy, and six were diagnosed with gigantomasty and underwent bilateral breast reduction with a modification of free nipple grafting. Our method for nipple reconstruction relies on a vertically oriented bipedicled flap with horizontally oriented extensions from the mid-portion.

Results

Nineteen nipple reconstructions in 13 patients were evaluated and the mean follow-up period was 15 months. We did not see any necrosis or any significant projection loss in our cases. Patients’ satisfaction was noted as high and the results were evaluated as pleasing.

Conclusion

We present a new technique that uses a bipedicled flap, oriented vertically. A rich blood supply to the flap may be the principal cause for long-lasting nipple projection.

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