Background and objective.

Nipple-areola complex reconstruction is the culmination of the mammary reconstruction process. It generates more satisfied patients and brings psychological benefits. However, patients are more satisfied with the reconstruction of the breast mound. The reconstruction of the nipple is a pending issue. There are many published techniques.

In this study we evaluate our experience with two techniques frequently used for nipple reconstruction: contralateral nipple segment graft and V-C flap, to determine which one offers us better results.

Methods.

Retrospective study on patients who undergone heterologous mammary reconstruction operated at the University Hospital Complex of A Coruña (Spain), between 2010 and 2014, using two techniques of nipple reconstruction: V-C flap and contralateral nipple segment graft. Parameters such as position, diameter, projection, color and sensitivity were assessed, both by the medical staff and by the patients, and the results obtained were submitted to statistical study.

Results.

A total of 25 patients (16 grafts and 9 flaps) were stu- died. Nipple position was adequate in all cases. Diameter and projection showed no statistically significant differences between the two techniques. However, significant differences were observed in color and sensitivity. Reconstructed V-C flap nipples were lighter in color and less sensitive.

Conclusions.

In our personal casuistry review, nipple reconstruction by grafting a healthy contralateral nipple segment offers better results in terms of color and sensitivity than the reconstruction with a V-C flap in patients with heterologous reconstruction of the breast.

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