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KMID : 1037220160220030122
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Archives of Aesthetic Plastic Surgery
2016 Volume.22 No. 3 p.122 ~ p.128
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Nipple Reconstruction Using a Scar-Based Modified C-V Flap
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Choi Won-Chul
Choi Hyun-Gon
Kim Jee-Nam
Lee Myung-Chul
Shin Dong-Hyeok
Kim Soon-Heum
Kim Cheol-Keun
Jo Dong-In
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Abstract
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Background : Numerous techniques have emerged for nipple-areolar complex (NAC) over the years. Scar-based modified C-V flap technique is a new method for creating NAC, surgeons can accomplish nipple reconstruction and scar revision simultaneously. This article described the modified C-V flap technique for nipple reconstruction. This modified method is simple and reliable with good outcome.
Methods : To evaluate the effectiveness of our technique, we reviewed 21 patients who underwent nipple reconstruction using the scar-based modified C-V flap technique. For scar-based modified C-V flap, a C flap was designed to match the contralateral nipple in width while a V flap including scar after mastectomy was designed. The flap pedicle was centrally located. The V flap was then fixed surrounding the central part with a proper shape and volume considering the distal part of the flap that had poor vascularization.
Results : The average age of the 21 patients was 48.4 years. The average length of follow up was 7.4 months. Complication rate was 19.0% including projection loss in 2 cases, tip necrosis in 1 case, postoperative infection in 1 case, and wound dehiscence in 1 case. Re-operations were performed for 2 cases of projection loss, 1 case of partial flap necrosis, and 1 case of wound dehiscence.
Conclusions : The scar-based modified C-V flap technique is a simple and reliable method for nipple reconstruction with aesthetic outcome. Patients who have undergone this surgical technique tend to have great satisfaction with the results.
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KEYWORD
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Mammaplasty, Nipples, Reconstructive surgical procedures
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