One-Stage Breast Reconstruction Using the Inferior Dermal Flap, Implant, and Free Nipple Graft

  • Ian C. C. KingEmail author
  • James R. Harvey


The inferior dermal flap with implant and free nipple graft is a valuable technical option available to women with ptotic breasts requiring immediate breast reconstruction. This single-stage procedure uses autologous tissue for an inferolateral dermal sling that is sutured to the pectoralis major muscle, supporting an implant and shaping the breast. Using the ipsilateral nipple as a free nipple graft facilitates immediate color matching with the contralateral nipple and conveys a far more elegant cosmetic reconstruction in comparison with that resulting from delayed nipple reconstruction or areolar tattooing. This one-stage operation avoids both a prolonged operation and also the costs and potential morbidity of prosthetic mesh use. This approach offers a safe, reliable, and cosmetically acceptable outcome for women with larger, ptotic breasts.


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Plastic SurgerySt George’s HospitalLondonUK
  2. 2.University of Manchester, Manchester Academic Health Science CentreManchesterUK
  3. 3.Nightingale Centre, University Hospital of South of ManchesterManchesterUK

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