Eur J Plast Surg (2016) 39:79–80 DOI 10.1007/s00238-015-1136-8 LETTER TO THE EDITOR Does the arrow flap associated with dermal platform really improve long-term nipple projection? 1 2 1 Sara Maxia & Domenico Pagliara & Lidia Dessena & 3 2 Fabio Santanelli di Pompeo & Corrado Rubino Received: 26 May 2015 /Accepted: 5 July 2015 /Published online: 25 July 2015 Springer-Verlag Berlin Heidelberg 2015 Sir, recommend the use of deepithelialized base in order to obtain the stabilization of flap and less nipple projection Reconstruction of nipple-areola complex is the final step loss . In our clinical experience, we evaluate the of breast reconstruction and is often identified by pa- results of a modified Barrow flap^ technique with der- tients as a hallmark of the new breast. Loss of nipple mal platform compared to conventional Barrow flap^ projection is the factor that patients dislike most after (Fig. 1). nipple-areola reconstruction . Several surgical tech- Weretrospectivelyanalyzeddataof16patientsun- niques based on local flaps have been proposed to over- dergoing delayed nipple reconstruction after post- come this issue. Unfortunately, all local flaps have the mastectomy autologous or prosthetic breast reconstruc- same drawback and are associated with a loss in pro- tion. We considered two groups
European Journal of Plastic Surgery – Springer Journals
Published: Feb 1, 2016
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