Nipple-areolar reconstruction with the modified arrow flap / 中华整形外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To introduce the clinical experience of nipple-areolar reconstruction with the modified arrow flap.</p><p><b>METHODS</b>The arrow flaps were modified for nipple-areolar reconstruction in 12 cases. Among them, 2 cases were treated with combined thin split-thickness skin graft; 4 cases with autologous rib implant and tattoo; 6 cases with tattoo.</p><p><b>RESULTS</b>All the reconstructed nipples were survived. The reconstructed nipples lost projection 1 month after operation in 2 cases. The other 10 cases retained 50% of the nipple projection 3 months after operation. The results were maintained with satisfactory symmetry during the follow-up period of 6 months to one year.</p><p><b>CONCLUSIONS</b>The modified flap is easily performed with reasonable design and no need of donor site. The nipple projection can be maintained with good long-term effect.</p>