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The Diamond Double-Opposing V–Y Flap: A Reliable, Simple, and Versatile Technique for Nipple Reconstruction

  • Ginger Slack
  • Malcolm Lesavoy
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Abstract

The nipple is an essential defining component to restore the semblance and appearance of a natural breast. There is significant variation in dimension, texture, and color across ethnic groups and among individuals. The authors discuss the technique of the diamond double-opposing V–Y flap. 4% of patients had early complications of partial flap loss. About 80% of projection is maintained after 1 year.

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References

  1. 1.
    Breascancer.org. US breast cancer statistics. 2016. http://www.breastcancer.org/symptoms/understand_bc/statistics. Accessed 8 Dec 2016.
  2. 2.
    Lipa JE, Addison PD, Neligan PC. Patient satisfaction following nipple reconstruction incorporating autologous costal cartilage. Can J Plast Surg. 2008;16:85–8.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Wellisch DK, Schain WS, Noone RB, Little JW III. The psychological contribution of nipple addition in breast reconstruction. Plast Reconstr Surg. 1987;80:699–704.CrossRefPubMedGoogle Scholar
  4. 4.
    Jabor MA, Shayani P, Collins D Jr, Karas T, Cohen BE. Nipple areola reconstruction: satisfaction and clinical determinants. Plast Reconstr Surg. 2002;110:457–63.CrossRefPubMedGoogle Scholar
  5. 5.
    Adams WM. Free transplantation of the nipples and areola. Surgery. 1944;15:186–95.Google Scholar
  6. 6.
    Anton MA, Hartrampf CR Jr. Nipple reconstruction with the star flap. Plast Surg Forum. 1990;13:100–3.Google Scholar
  7. 7.
    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
  8. 8.
    Little JW. Nipple-areola reconstruction. Clin Plast Surg. 1984;11:351–64.PubMedGoogle Scholar
  9. 9.
    Kroll SS. Nipple reconstruction using the double-opposing tab flap. Plast Reconstr Surg. 1999;104:511–4.CrossRefPubMedGoogle Scholar
  10. 10.
    Losken A, Mackay GJ, Bostwick J. Nipple reconstruction using the C-V flap technique: a long-term evaluation. Plast Reconstr Surg. 2001;108:361–9.CrossRefPubMedGoogle Scholar
  11. 11.
    Eo S, Kim SS, Da Lio AL. Nipple reconstruction with C-V flap using dermofat graft. Ann Plast Surg. 2007;58:137–40.CrossRefPubMedGoogle Scholar
  12. 12.
    Lesavoy M, Liu TS. The diamond double-opposing V-Y flap: a reliable, simple, and versatile technique for nipple reconstruction. Plast Reconstr Surg. 2010;125(6):1643–8.CrossRefPubMedGoogle Scholar
  13. 13.
    Di Benedetto G, Sperti V, Pierangeli M, Bertani A. A simple and reliable method of nipple reconstruction using a spiral flap made of residual scar tissue. Plast Reconstr Surg. 2004;114:158–61.CrossRefPubMedGoogle Scholar
  14. 14.
    Cheng MH, Rodriguez ED, Smartt JM, Cardenas-Mejia A. Nipple reconstruction using the modified top hat flap with banked costal cartilage graft. Ann Plast Surg. 2007;59:621–8.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Plastic and Reconstructive SurgeryUCLA Medical CenterLos AngelesUSA
  2. 2.Department of Plastic and Reconstructive SurgeryDavid Geffen School of Medicine at UCLALos AngelesUSA

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