Patchwork Flap for Immediate Nipple-Areolar Complex Reconstruction

Loss of nipple projection is commonly encountered during nipple-areolar reconstruction. The patchwork flap was developed to overcome this problem. The thickness of the buried dermofat flap can be modified to the desired nipple projection. Areolar is reconstructed with multiple skin flap islands, which negates the need for skin grafting. The dimensions of the skin islands can be modified to the desired areolar size.