ArticlePlastic and reconstructive surgery. Global open2025
The Domeless Arrow Flap: A Strategy to Enhance Realism in Reconstructed Nipples.
Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
4 authors.
Funding
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Abstract
The domeless arrow flap (DAF) introduces a simple yet effective technique for nipple reconstruction, enhancing realism by omitting the cap of the traditional arrow flap. This innovative approach allows secondary intention healing to create an irregular scar, mimicking the natural rough texture of a real nipple. Applied to 24 patients across 25 autologous breast reconstructions, the DAF achieved the best results on latissimus dorsi flaps (44% mean projection retention) and the poorest on thoracic irradiated skin (28%). Easy to perform and complication-free, the DAF is a reliable option that combines simplicity with natural aesthetics, making it a valuable addition to a surgeon's arsenal.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.