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Journal of the Korean Society for Aesthetic Plastic Surgery 2005;11(1):111-115.
Published online March 1, 2005.
Noble Tip for Reduction of V-limb of C-V Flap for Nipple Reconstruction.
Jae Hee Park, Eui Seok Jung, Sa Ik Bang, Kap Sung Oh, Won Sok Hyon, Gu Hyun Mun, So Young Lim, Jae Kyung Pyun
Department of Plastic and Reconstructive Surgery, Samsung Medical Center, College of Medicine, Sungkyunkwan University, Seoul, Korea. sibang55@hotmail.com
A nipple can be reconstructed either by nipple sharing or local flap. But donor site scar is inevitable when nipple is reconstructed with local flap method. The scar which remains inside the nipple areolar complex can be hidden by medical tattooing, but elongated scar, which cross over the areolar border leads to poor esthetic result. So as to solve this problem, we used purse string suture method. We reconstructed nipple with C-V flap for 9 patients who previously reconstructed breast with extended latissimus dorsi flap. Purse string suture with 3-0 nylon was used for donor site closure. We minimize 10.7% of the scar length with this method. Enhancement of nipple projection due to the flattening of V limb was attained in addition. We expect the reduction of V-limb of C-V flap and amount of absorption of the reconstructed nipple with purse string suture method.
Key Words: Nipple reconstruction, Purse string suture, C-V flap


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