V-Y Nipple Reconstruction
Nipple-areola complex reconstruction (NAR) may be complicated by scars or previous nipple reconstruction. V-Y advancement flap NAR is a reliable technique for both novice and experienced surgeons when treating patients with vertical mastectomy or Wise-pattern scar of the breast. A traditional V-Y advancement flap is lifted at the site of the future nipple. Scars from prior mastectomy, mammoplasty, or nipple reconstruction can be incorporated into the flap. The flap is folded caudally upon itself and the donor site is linearly closed. This method is easy to perform and reproducible, has low operative morbidity, and yields minimal to no additional scar burden while producing an acceptable aesthetic result.