Immediate Nipple Reconstruction Using the Everted Umbilicus

  • Christian A. El AmmEmail author


Women considering unilateral immediate or delayed reconstruction may be candidates for abdominally sourced flaps (TRAM, free TRAM, and DIEP) with immediate nipple reconstruction using the everted umbilicus. The umbilical stalk and surrounding skin is included in the harvested flap. Periumbilical perforators provide blood supply to the ipsilateral half of the umbilical stalk, and the contralateral half is supplied by a preserved subdermal plexus. A neo-umbilicus is recreated on the abdominal wall in an esthetically pleasing location.


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    De Cholnoky T. Breast reconstruction after radical mastectomy: formation of missing nipple by everted navel. Plast Reconstr Surg. 1966;38(6):577–80.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Plastic, Reconstructive Surgery, and Craniofacial SurgeryUniversity of OklahomaOklahoma CityUSA

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