Nipple reconstruction using the modified top hat flap with banked costal cartilage graft: Long-term follow-up in 58 patients

Ming Huei Cheng, Eduardo D. Rodriguez, James M. Smartt, Alexander Cardenas-Mejia

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

The long-term projection of nipple reconstruction is a challenge. Fifty-eight consecutive female patients underwent 58 nipple reconstructions with modified top hat flap with cartilage graft following breast reconstruction in 54 autologous tissues and 4 implants, respectively.The average neonipple size was 11.5 mm initially and 8.5 mm at a mean follow-up of 44.9 months (range, 24-65 months), with a mean decrease in projection of 26.1%. Thirty-three patients achieved an excellent result, 20 patients a good result, 3 patients a fair result, and 2 patients a poor result, respectively. The complication rate was 12.1% (7 of 58 cases), and there was no statistically significant difference between the immediate and delayed groups; the revision rate was 8.6% (5 of 58 cases).The modified top hat flap with banked costal cartilage graft provides a sustainable solution to the gradual loss of nipple projection, with few complications.

Original languageEnglish (US)
Pages (from-to)621-628
Number of pages8
JournalAnnals of plastic surgery
Volume59
Issue number6
DOIs
StatePublished - Dec 1 2007

Keywords

  • Breast reconstruction
  • Costal cartilage graft
  • Modified top hat flap
  • Nipple reconstruction

ASJC Scopus subject areas

  • Surgery

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