Nipple reconstruction is the final stage of breast reconstruction and performed after acceptable breast mound shape and symmetry has been achieved. The objectives of this study are to describe an original technique of nipple reconstruction, using a combination of random flap (for new nipple) and dermal graft (for new areola), and also measure patient satisfaction outcomes. Thirty-one patients underwent the L-shaped nipple reconstruction (2011-2016) at Liverpool Breast Unit and completed satisfaction survey of this technique. This cohort was compared to 59 patients who underwent traditional CV flap during the same period, in our Breast Unit. The study analysed the combined data of 90 patients (L flap N = 31 and CV flap N = 59). “L”-shaped flap is a random local skin flap to create new nipple and dermal graft is used to create new areola. There was no statistically significant difference in complication rates between traditional CV flap (9.7%) and L-shaped (13.6%) nipple reconstructions (Fishers exact test p = 0.74). In our L flap cohort, 94% were pleased and 93% would recommend it to a friend. Thus L flap is a viable alternative to CV flap in suitable patients and has positive patient satisfaction outcomes.
Part of the book: Breast Cancer and Breast Reconstruction