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Star flap with a dermal platform for nipple reconstruction

2010; Elsevier BV; Volume: 64; Issue: 2 Linguagem: Inglês

10.1016/j.bjps.2010.08.024

1878-0539

Adam Sierakowski, Niri S. Niranjan,

Breast Implant and Reconstruction

We read with interest the article ‘Modifications to the C–V flap for nipple reconstruction’ by O’Neil and Goodwin-Walters in the April JPRAS (Vol. 63, e418–9). 1 O’Neil J.K. Goodwin-Walters A. Modifications to the C-V flap for nipple reconstruction. J Plast Reconstr Aesthet Surg. 2010; 63: e418-e419 Abstract Full Text Full Text PDF PubMed Scopus (7) Google Scholar Our senior author has incorporated the ‘dermal platform’ technique into ‘star flap’ reconstruction of the nipple for the past 15 years in over 300 patients. We have found that the use of a dermal platform helps prevent loss of projection in the reconstructed nipple, with good long term results. The ‘star flap’ design was first described by Anton and Hartrampf in 1991. 2 Anton M.A. Eskenazi L.B. Hartrampf C.R. Nipple reconstruction with local flaps: star and wrap around flaps. Perspect Plast Surg. 1991; 5: 67 Google Scholar This has undergone several modifications such as the ‘C–V flap’ of Bostwick and the ‘arrow flap’ of Guerra et al. 3 Losken A. Mackay G.J. Bostwick III, J. Nipple reconstruction using the C-V flap technique: a long-term evaluation. Plast Reconstr Surg. 2001; 108: 361-369 Crossref PubMed Scopus (142) Google Scholar , 4 Guerra A.B. Khoobehi K. Metzinger S.E. et al. New technique for nipple areolar reconstruction: arrow flap and rib cartilage graft for long-lasting nipple projection. Ann Plast Surg. 2003; 50: 31-37 Crossref PubMed Scopus (84) Google Scholar These techniques share a similar design, with two lateral flaps wrapping round to give the nipple its height, and a vertical flap which folds over to form a cap.