Better Inset in Nipple Reconstruction by Modification in Skate Flap: A Case Study
Abstract
NAC reconstruction represents the final stage of breast reconstruction. This can be accomplished thr ough non-surgical and surgical procedures, each with its own set of advantages and disadvantages. The majority of surgeons employ the Skate flap. The following is a de monstration of a modific ation to this flap.A woman, 56 years of age, who had previously undergone breast reconstruction using a TRAM flap, was admitted for nipple reconstruction. During the design of the star flap, a modification was executed, which involved reciprocally changing the orientation of the lateral flaps. Both flaps were properly positioned in their prepared locations during the flap inset and skin closure. The final outcome was satisfactory and aesthetically pleasing.The modification in the design of the Skate flap alters the orientation of the transferred flaps, making the final inse t feasible with less dis figurement.
[2] Slaibi Filho J, Pires DM, Andrade RL, Valadares CN, Figueiredo CL, Nascimento MS. Nipple reconstruction: description and contribution to four-square technique or cylindrical flap. Mastology. 2017;27(4):307-11. https://doi.org/10.29289/2594
[3]Narayan N, Shivaiah RH, Ramamurthy V, Dhanraj P. An Assessment on Clinical Outcome of use of Skate Flaps in Reconstruction of the Burned Nipple-Areola Complex. J Med Sci Health. 2021;7(3):6-12. https://doi.org/10.46347/jmsh.2021. v07i03.002
[4] Pu LLQ, Song P. The Modified Skate Flap: A New Technique for Nipple-Areola Complex Reconstruction in Implant-Based Breast Reconstruction. Aesthet Surg J Open Forum. 2021;3(1):ojab004. https://doi.org/10.1093/asjof/ojab004
[5]Sodré P, Tobar JSS, Vieira R, Chagas CR. Nipple Areolar Reconstruction: Techniques to Achieve a Good Result.
Mastology. 2018;28(2):119-24. https://doi.org/10.29289/2594 539420180000232
[6] Yüksel F, Çeliköz B. C-V flap nipple reconstruction combined with areola grafting. Indian J Plast Surg. 2003;36(2):71-75.
[7] Jalini L, Lund J, Kurup V. Nipple Reconstruction Using the C-V Flap Technique: Long-Term Outcomes and Patient Satisfaction. World J Plast Surg. 2017;6(1):68-73. https://pubmed.ncbi.nlm. nih.gov/28289616
[8] Liodaki E, Bergmann PA, Kalousis K, Mailänder P, Siemers F. The central-pedicled intracorial skin-flap technique for reconstruction of the nipple-areola complex (NAC). Breast. 2013;22: 74-77. https://doi.or g/10.1016/j. breast.2012.05.013
Files | ||
Issue | Vol 8 No 4 (2023): July-August | |
Section | Case Report(s) | |
DOI | https://doi.org/10.18502/crcp.v8i4.14570 | |
Keywords | ||
Nipple reconstruction Skate flap Star flap Flap inset |
Rights and permissions | |
![]() |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |