Skip to main content
SpringerLink
Log in

C-Y Trilobed Flap for Improved Donor-Site Morbidity in Nipple-Areola Complex Reconstruction

  • Chapter
  • First Online:
Nipple-Areolar Complex Reconstruction

  • 933 Accesses

Abstract

Nipple-areola complex (NAC) reconstruction is frequently the final step in postmastectomy breast reconstruction and provides patients greater satisfaction with their surgical outcomes and body image. Trilobed local flaps are reliable and technically straightforward options for NAC reconstruction given their versatility and minimal donor-site morbidity. Modifications of the technique that serve to facilitate donor-site closure and eliminate dog-ears commonly extend scar length as a result. The C-Y modification described here is a reliable and easily reproducible adaptation based on triangular closures of lateral incisions that preserves nipple projection provided by traditional trilobed flaps without increasing scar length.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  1. Wellisch DK, Schain WS, Noone RB, Little JW III. The psychological contribution of nipple addition in breast reconstruction. Plast Reconstr Surg. 1987;80(5):699–704.

    Article  CAS  PubMed  Google Scholar 

  2. Sisti A, Grimaldi L, Tassinari J, Cuomo R, Fortezza L, Bocchiotti MA, Roviello F, D’Aniello C, Nisi G. Nipple-areola complex reconstruction techniques: a literature review. Eur J Surg Oncol. 2016;42(4):441–65.

    Article  PubMed  CAS  Google Scholar 

  3. Eskenazi L. A one-stage nipple reconstruction with the “modified star” flap and immediate tattoo: a review of 100 cases. Plast Reconstr Surg. 1993;92:671–80.

    Article  PubMed  CAS  Google Scholar 

  4. Rubino C, Dessy LA, Posadinu A. A modified technique for nipple reconstruction: the ‘arrow flap’. Br J Plast Surg. 2003;56(3):247–51.

    Article  PubMed  CAS  Google Scholar 

  5. Spyropoulou GA, Sterne GD. Algorithm for an aesthetically pleasing nipple-areola complex with the use of the C-V flap in cases of skin-sparing mastectomy and immediate reconstruction. Aesthet Plast Surg. 2009;33(2):240–2.

    Article  CAS  Google Scholar 

  6. Hamori CA, LaRossa D. The top hat flap: for one stage reconstruction of a prominent nipple. Aesthet Plast Surg. 1998;22:142–4.

    Article  CAS  Google Scholar 

  7. Hammond DC, Khuthaila D, Kim J. The skate flap purse-string technique for nipple-areola complex reconstruction. Plast Reconstr Surg. 2007;120:399–406.

    Article  CAS  PubMed  Google Scholar 

  8. Katerinaki E, Sircar T, Sterne GD. The C-V flap for nipple reconstruction after previous skin-sparing mastectomy and immediate breast reconstruction: refinements of donor-site closure. Aesthet Plast Surg. 2011;35(4):624–7.

    Article  CAS  Google Scholar 

  9. Butz DR, Kim EK, Song DH. C-Y Trilobed flap for improved nipple-areola complex reconstruction. Plast Reconstr Surg. 2015;136(2):234–7.

    Article  PubMed  CAS  Google Scholar 

  10. 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.

    Article  PubMed  Google Scholar 

  11. Farhadi J, Maksvytyte GK, Schaefer DJ, Pierer G, Scheufler O. Reconstruction of the nipple-areola complex: an update. J Plast Reconstr Aesthet Surg. 2006;59(1):40–53.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Plastic Surgery, University of Chicago Medical Center, 5841 S. Maryland Avenue, Rm J641, MC 6035, Chicago, IL, 60637, USA

    Tulsi Roy M.D., Daniel R. Butz M.D. & Zachary J. Collier B.A.

  2. Section of Plastic and Reconstructive Surgery, Department of Surgery, The University of Chicago Medicine and Biological Sciences, 5841 South Maryland Avenue Room J641, MC 6035, Chicago, IL, 60637, USA

    David H. Song M.D., M.B.A.

Authors
  1. Tulsi Roy M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Daniel R. Butz M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Zachary J. Collier B.A.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. David H. Song M.D., M.B.A.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to David H. Song M.D., M.B.A. .

Editor information

Editors and Affiliations

  1. Private Practice, Tustin, California, USA

    Melvin A. Shiffman

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Cite this chapter

Roy, T., Butz, D.R., Collier, Z.J., Song, D.H. (2018). C-Y Trilobed Flap for Improved Donor-Site Morbidity in Nipple-Areola Complex Reconstruction. In: Shiffman, M. (eds) Nipple-Areolar Complex Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-60925-6_65

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-60925-6_65

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60924-9

  • Online ISBN: 978-3-319-60925-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation