The ‘Cigar Roll’ Flap for Nipple-Areola Complex Reconstruction

  • Benjamin KhodaEmail author
  • Simon Heppell


Numerous techniques have been described for reconstruction of the NAC reflecting the fact that no one technique is best. The objectives are to recreate a natural looking NAC, which transforms a breast mound into an aesthetically pleasing breast. Important features to achieve this are position, size, shape, colour, texture and projection. The most challenging is maintaining projection after 6 months. ‘Cigar roll’ flap is a technique performed under local anaesthetic involving deepithelializing one half of the designed flap and using this as a base for recreating the nipple. This technique is simple, reproducible involving a local flap and produces consistent results.


  1. 1.
    Eng JS. Bell flap nipple reconstruction—a new wrinkle. Ann Plast Surg. 1996;36:485–8.CrossRefPubMedGoogle Scholar
  2. 2.
    Kroll SS, Reece GP, Miller MJ, Evans GR, Robb GL, Baldwin BJ, Wang BG, Schusterman MA. Comparison of nipple projection with the modified double opposing tab and star flaps. Plast Reconstr Surg. 1997;99:1602–5.CrossRefPubMedGoogle Scholar
  3. 3.
    Shestak KC, Gabriel A, Landecker A, Peters S, Shestak A, Kim J. Assessment of long-term nipple projection: a comparison of three techniques. Plast Reconstr Surg. 2002;110:780–6.CrossRefPubMedGoogle Scholar
  4. 4.
    Tanabe HY, Tai Y, Kiyokawa K, Yamauchi T. Nipple-areola reconstruction with a dermal-fat flap and rolled auricular cartilage. Plast Reconstr Surg. 1997;100(2):431–8.CrossRefPubMedGoogle Scholar
  5. 5.
    Garramone CE, Lam B. Use of AlloDerm in primary nipple reconstruction to improve long-term nipple projection. Plast Reconstr Surg. 2007;119:1663–8.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Plastic and Reconstructive SurgeryQueen Alexandra HospitalPortsmouthUK

Personalised recommendations