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