The double opposing periareola flap: a novel concept for nipple-areola reconstruction.

Background: This report describes the authors' currently favored method of nipple reconstruction that has been developed and used by the senior author over the past 26 months.

Methods: A pull-out flap is derived as the lead edge of one of two opposing skin flaps contained in a circular design approximating the areola complex of the opposite breast. The larger flap gives rise to the nipple construct, a derivative of the skate flap design.