Better Inset in Nipple Reconstruction by Modification in Skate Flap: A Case Study

Javad Rahmati; Shahriar Haddady-Abianeh; Hosseinali Abdolrazagh; Iraj Pourahmadian; Hojjat Molaei

doi:10.18502/crcp.v8i4.14570

Javad Rahmati Plastic and Reconstructive Surgery Department, Medicine School, Tehran University of Medical Sciences, Tehran, Iran
Shahriar Haddady-Abianeh Plastic and Reconstructive Surgery Department, Medicine School, Tehran University of Medical Sciences, Tehran, Iran
Hosseinali Abdolrazagh Hand and Reconstructive Surgery Department, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
Iraj Pourahmadian Plastic and Reconstructive Surgery Department, Medicine School, Mazandaran University of Medical Sciences, Sari, Iran
Hojjat Molaei Plastic and Reconstructive Surgery Department, Medicine School, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/crcp.v8i4.14570

Keywords: Nipple reconstruction; Skate flap; Star flap; Flap inset

Abstract

NAC reconstruction represents the final stage of breast reconstruction. This can be accomplished thr ough non-surgical and surgical procedures, each with its own set of advantages and disadvantages. The majority of surgeons employ the Skate flap. The following is a de monstration of a modific ation to this flap. A woman, 56 years of age, who had previously undergone breast reconstruction using a TRAM flap, was admitted for nipple reconstruction. During the design of the star flap, a modification was executed, which involved reciprocally changing the orientation of the lateral flaps. Both flaps were properly positioned in their prepared locations during the flap inset and skin closure. The final outcome was satisfactory and aesthetically pleasing. The modification in the design of the Skate flap alters the orientation of the transferred flaps, making the final inse t feasible with less dis figurement.