Central Core with Medially Based Flaps

Central Core with Medially Based Flaps This technique involves the combined use of the core skin and fat together with the areolar skin in the form of medially based flaps. These flaps are drawn together to form the lateral walls of the new nipple. Initial descriptions used split-thickness flaps; however, Barton, more recently, described four fullthickness flaps with grafting the donor site (Fig. 2A) (9). Little’s subsequent description of a Maltese cross design with the flaps becoming wider laterally, has become a popular technique for many surgeons (Fig. 2B) (10).