Modified C-V Flap for Nipple Reconstruction.

IF 1 Q3 MEDICINE, GENERAL & INTERNAL
Cureus Pub Date : 2025-03-08 eCollection Date: 2025-03-01 DOI:10.7759/cureus.80256
Ulises Solis Bermudez, Mariana Gabriela Monroy Velázaquez, Karina Lizbeth Lara Sampayo, Sergio Federico Estrada Tijerina, Jesus Eduardo Trujillo Rodríguez, Moisés Alvir Ruiz Lopez, Erik Ponce Graciano, Oscar Ulises Rosales Martinez
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Abstract

Nipple reconstruction is a crucial aspect of breast reconstruction, focusing on restoring the aesthetic appearance of the nipple-areola complex (NAC). Techniques such as the C-V flap are commonly used, but they often face challenges in maintaining nipple projection over time, requiring overcorrection. The modified C-V flap, incorporating purse-string sutures, improves projection retention and reduces the need for revisions. A 63-year-old woman with a history of failed reconstructions underwent a modified C-V flap, achieving favorable results. This technique, combined with composite grafts and tattooing, addresses complications such as radiotherapy effects and enhances the overall outcome. The approach offers a reliable and personalized solution, optimizing long-term results in nipple reconstruction.

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