Introduction: Reconstruction of the nipple-areola complex (NAC) is indicated when this member is amputated in mastectomies to ensure a more natural appearance to the reconstructed breast. It was first reported by Berson in 1946. but there are currently more than 60 different techniques. all described in the last 8 decades. https://www.roneverhart.com/Rexford-Knives-Rut-V5-Completed/