Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

A Novel Nipple Reconstruction Technique for Maintaining Nipple Projection: The Boomerang Flap

  • Kim, Young-Eun (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Hong, Ki Yong (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Minn, Kyung Won (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Jin, Ung Sik (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • Received : 2016.05.04
  • Accepted : 2016.07.26
  • Published : 2016.09.21
Download PDF
⟨ Previous Next ⟩

Abstract

Nipple-areolar complex (NAC) reconstruction is the final step in the long journey of breast reconstruction for mastectomy patients. Successful NAC reconstruction depends on the use of appropriate surgical techniques that are simple and reliable. To date, numerous techniques have been used for nipple reconstruction, including contralateral nipple sharing and various local flaps. Recently, it has been common to utilize local flaps. However, the most common nipple reconstruction problem encountered with local flaps is the loss of nipple projection; there can be approximately 50% projection loss in reconstructed nipples over long-term follow-up. Several factors might contribute to nipple projection loss, and we tried to overcome these factors by performing nipple reconstructions using a boomerang flap technique, which is a modified C-V flap that utilizes the previous mastectomy scar to maintain long-term nipple projection.

Keywords

References

  1. Shestak KC, Gabriel A, Landecker A, et al. Assessment of long-term nipple projection: a comparison of three techniques. Plast Reconstr Surg 2002;110:780-6. https://doi.org/10.1097/01.PRS.0000019716.27638.0D
  2. Zhong T, Antony A, Cordeiro P. Surgical outcomes and nipple projection using the modified skate flap for nipple-areolar reconstruction in a series of 422 implant reconstructions. Ann Plast Surg 2009;62:591-5. https://doi.org/10.1097/SAP.0b013e31819fb1c9
  3. Losken A, Mackay GJ, Bostwick J 3rd. Nipple reconstruction using the C-V flap technique: a long-term evaluation. Plast Reconstr Surg 2001;108:361-9. https://doi.org/10.1097/00006534-200108000-00013
  4. Di Benedetto G, Sperti V, Pierangeli M, et al. A simple and reliable method of nipple reconstruction using a spiral flap made of residual scar tissue. Plast Reconstr Surg 2004;114:158-61.

Cited by

  1. An innovative nipple reconstruction technique for minimizing postoperative scars: The teardrop flap vol.26, pp.2, 2016, https://doi.org/10.14730/aaps.2019.01991