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Reconstruction of the nipple-areola complex is the final stage of breast reconstruction. The most common nipple reconstruction techniques use local flaps or grafts. However, these techniques in cases of burns produce undesirable outcomes due to the decreased vascularization of damaged skin. The objective of this work was to evaluate the use of the autonomized star flap in the nipple reconstruction of burned breasts. Methods: Nipples were reconstructed in eight female patients in two surgeries each. Results: There were no complications such as necrosis, dehiscence, complete loss of projection of the new nipple, or infection. The mean projection at the end of surgery was 15.25 mm; 6 months after reconstruction, it was 3 mm, showing stability. All patients were satisfied with their results. Conclusion: We conclude that autonomization leads to safe reconstruction of the nipple on burned breasts and maintains a satisfactory minimal projection of the reconstructed nipple. Introducao: A reconstrucao do complexo areolomamilar e a fase final da reconstrucao mamaria. As tecnicas de reconstrucao do mamilo mais utilizadas sao com retalhos locais ou enxertos. A utilizacao destas tecnicas em mamas que sofreram queimaduras apresenta resultados indesejados, em decorrencia da menor vascularizacao da pele lesada. O objetivo deste trabalho foi avaliar a utilizacao do retalho trilobado autonomizado na reconstrucao do mamilo em mamas queimadas. Metodos: Oito pacientes do sexo feminino tiveram seus mamilos reconstruidas em dois tempos cirurgicos. Resultados: Nao ocorreram complicacoes, como necrose, deiscencia, perda completa da projecao do novo mamilo ou infeccao. A projecao media ao termino da cirurgia foi de 15,25 mm e, apos seis meses de reconstrucao, foi de 3 mm, permanecendo estavel. Todas as pacientes ficaram satisfeitas com os resultados. Conclusao: Concluimos que a autonomizacao deu seguranca a reconstrucao do mamilo em mamas queimadas e manteve projecao minima satisfatoria do mamilo reconstruido.

Reconstruction of a burned nipple-areola complex using an autonomized star flap