Objective: To introduce the clinical experience of nipple-areolar reconstruction with the modified arrow flap.
Methods: The arrow flaps were modified for nipple-areolar reconstruction in 12 cases. Among them, 2 cases were treated with combined thin split-thickness skin graft; 4 cases with autologous rib implant and tattoo; 6 cases with tattoo.
Results: All the reconstructed nipples were survived. The reconstructed nipples lost projection 1 month after operation in 2 cases. The other 10 cases retained 50% of the nipple projection 3 months after operation. The results were maintained with satisfactory symmetry during the follow-up period of 6 months to one year.
Conclusions: The modified flap is easily performed with reasonable design and no need of donor site. The nipple projection can be maintained with good long-term effect.
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