Triple-V flap: nipple reconstruction using a modified C-V flap technique for long-lasting improvement of projection |
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Authors: | Francesco Klinger Fabio Caviggioli Valeriano Vinci Davide Forcellini Luca Maione Andrea Lisa Marco Klinger |
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Affiliation: | 2. U.O.C. Chirurgia Plastica, Università degli Studi di Milano–MultiMedica Holding S.p.A., Via Milanese, 300-20099, Sesto San Giovanni, Milano, Italy 1. U.O. Chirurgia Plastica 2, Università degli Studi di Milano–IRCCS Istituto Clinico Humanitas, Rozzano, Milano, Italy
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Abstract: | Background Reconstruction of the nipple–areola complex is the last procedure in breast reconstruction after mastectomy. Various techniques have been described, but the creation of a long-lasting projection represents a challenge in plastic surgery causing frequent nipple projection loss. Methods From December 2008 and September 2010, we performed 43 nipple reconstructions using our new technique named “triple-V flap.” This procedure is similar to C-V flap but uses a further V limb area that is de-epithelialized and provides significant support to the new nipple. Clinical assessment was performed with a caliper measuring nipple projection at 1, 6, and 12 months after the surgical procedure. Results We evaluated the triple-V nipple reconstruction technique in 43 patients. Reconstructed nipple projection ranged between 3.3 and 6.4 mm (mean 4.8 mm). Mean decrease in nipple projection was 0.2 mm at 1 month, 1.4 mm at 6 months, and 1.6 mm at 1 year. After 1 year, mean nipple projection decrease was 34 %. Conclusions Our triple-V technique allows the maintenance of long-lasting projection of the reconstructed nipple at 12 months after surgery. Ease and speed of execution made our technique usable in all patients who need to complete the breast reconstruction process. Level of Evidence: Level IV, therapeutic study. |
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