Aesthetically satisfying nipple restoration plays an important role in post-mastectomy breast reconstruction. We have used the C-V flap with dermofat graft from the discarded tissues in second stage breast reconstruction in 22 nipples of 20 patients. This article describes non-innovative, but useful technique for better nipple projection based on the flap and graft theory. Transferred dermofat was wrapped around by C-V flap with the dermal tissue laying in the deep aspect. There were no skin flap loss, fat necrosis and wound problem. We believe this might be the simplest and valuable method for the good projecting nipple reconstruction.

( This paper was published on "Ann Plast Surg 2007 Feb;58(2):137-140". )