Short reports and correspondence| Volume 60, ISSUE 8, P971-972, August 2007

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In response to: Rubino C, Dessy LA, Posadinu A. A modified technique for nipple reconstruction: The “arrow flap”. Br J Plast Surg 2003;56:247

Published:March 09, 2007DOI:
      With reference to the above article
      • Rubino C.
      • Dessy L.A.
      • Posadinu A.
      A modified technique for nipple reconstruction: the “arrow flap”.
      we would like to report our experience with this flap and add few considerations.
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        • Rubino C.
        • Dessy L.A.
        • Posadinu A.
        A modified technique for nipple reconstruction: the “arrow flap”.
        Br J Plast Surg. 2003; 56: 247-251
        • Eskenazi L.
        A one-stage nipple reconstruction with the modified star flap and immediate tattoo: a review of 100 cases.
        Plast Reconstr Surg. 1993; 92: 671-680
        • Kroll S.S.
        • Reece G.P.
        • Miller M.J.
        Comparison of nipple projection with the modified double opposing tab and star flaps.
        Plast Reconstr Surg. 1997; : 1602-1605
        • Spear S.L.
        • Convit R.
        • Little III, J.W.
        Intradermal tattoo as an adjunct to nipple-areola reconstruction.
        Plast Reconstr Surg. 1989; 83: 907-911
        • Wong R.K.M.
        • Banducci D.R.
        • Feldman S.
        • et al.
        Pre-reconstruction tattooing eliminates the need for skin grafting in nipple areolar reconstruction.
        Plast Reconstr Surg. 1993; 92: 547-549

      Linked Article

      • A modified technique for nipple reconstruction: the ‘arrow flap’
        British Journal of Plastic SurgeryVol. 56Issue 3
        • Preview
          It is well known that nipples reconstructed using local tissue flaps slowly flatten. Furthermore, patients with implant reconstruction show the highest amount of nipple projection loss. This article describes some modifications to the technique proposed by Thomas et al in order to maintain flap projection. We undertook a prospective study to evaluate the effectiveness of our technique, named ‘arrow flap’. We compared a series of patients with unilateral breast reconstruction (16 implants, 16 TRAM flaps) who underwent nipple reconstruction using either the ‘modified star flap’ or the ‘arrow flap’.
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