Nipple Reconstruction with Rolled Dermal Graft Support

The long-term appearance of the reconstructed nipple is a significant factor in the patient’s overall satisfaction with their breast reconstruction. A variety of techniques have been described for the reconstruction of the nipple. The authors discuss the use of a tightly rolled dermal graft to create a graft with axial rigidity for nipple reconstruction and possible complications. Two cases are presented showing the results. A thick, well-vascularized dermis is a key factor in maintaining of nipple projection which is what the rolled dermal graft does.