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KMID : 1037220200260020084
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Archives of Aesthetic Plastic Surgery
2020 Volume.26 No. 2 p.84 ~ p.86
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An innovative nipple reconstruction technique for minimizing postoperative scars: The teardrop flap
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Choi Bong-Gyu
Kim Il-Kug
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Abstract
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Nipple reconstruction methods include various techniques, such as the local flap technique, free nipple grafting, and filler injection. The local flap technique can provide less donor site morbidity than a free nipple graft, but leaves an additional scar near the nipple. We present a novel method for reconstruction of the nipple using a flap located on one side of the nipple. The flap has a teardrop shape consisting of a circle and two wings folded to one side. The two wings form a pillar and cap, and the de-epithelialized tip of one wing fills the internal dead space of the new nipple. We applied this nipple reconstruction technique in the case of a 61-year-old patient who had a vertical scar due to inverted-T reduction mammoplasty. The patient had lost her nipple in previous breastconserving surgery. The immediate postoperative nipple projection was 10 mm. At the 7-month follow-up visit, the nipple projection was 7.5 mm. The teardrop flap is an innovative technique that leaves no additional scar by using the scar already present on one side of the nipple.
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KEYWORD
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Mammaplasty, Nipples, Surgical flaps
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