![]() ![]() Nipple graft and the de-epithelialized recipient site.Īt the recipient site, which is either the skin paddle of the transverse rectus abdominus myocutaneous flap or latissimus dorsi flap, a circle with a diameter of 1–1.5 cm is drawn according to the dimensions of the graft. ![]() Nipple graft and the de-epithelialized recipient site When correctly applied, we observed rapid revascularization of the graft. Apposition between the nipple graft and its bed is crucial for the success of this technique. This technique was performed in 9 patients with an average follow-up of 2.9 years (range, 1–4.5 years). The height of the nipple grafts ranges from 4 to 8 mm. Being a composite graft, it is protected with splint dressings for 6 weeks, and the dressing is regularly changed by the surgeon. The recipient bed is deepithelialized thinly, and the nipple graft is inset with interrupted 8-0 nylon sutures under magnification. This technique provides good control, resulting in a very evenly cut base. 11 blades are then inserted in the center and simultaneously swept outwards to amputate the distal portion of the nipple. Here, we described a guillotine technique wherein the nipple is first transfixed with 2 straight needles to stabilise it. The method used for nipple graft harvesting determines the quality of the graft and hence, the success of nipple sharing. The nipple-sharing technique for nipple reconstruction offers excellent tissue matching. ![]()
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