Background <p>Background Nipple–areola complex reconstruction remains an important final stage of breast reconstruction, yet durable nipple projection and low ischemic complication rates continue to represent technical challenges. We describe a technical modification of the classic whale-tail flap intended to improve structural stability while maintaining reliable vascularity. The modification consists of an asymmetric design with 45° flap angulation, a 2.5-cm inferior pedicle, a shorter medial arm to form the projecting apex, and a longer lateral arm to provide circumferential wrap. </p> Methods <p>We retrospectively reviewed 85 consecutive nipple–areola complex reconstructions performed with this technique between January 2013 and August 2025 in previously reconstructed breasts. Outcomes assessed included flap viability, postoperative complications, follow-up duration, and serial clinical nipple projection measurements obtained immediately postoperatively and during follow-up.</p> Results <p>The cohort included implant-based and autologous breast reconstructions. Postoperative nipple projection decreased progressively during follow-up, although clinically acceptable projection was acceptable in most patients without need for surgical revision. One case of partial flap necrosis was observed (1.17%). No total flap necrosis occurred. Minor wound complications were uncommon, and no patient required reintervention for complete loss of projection.</p> Conclusions <p>This modified whale-tail flap appears to be a safe and reproducible option for nipple reconstruction in implant-based and autologous breast reconstruction. Its principal contribution lies in the reproducible geometric refinement and practical intraoperative design. Nevertheless, objective comparative studies with standardized projection measurements and patient-reported outcomes are necessary to determine whether the modification independently improves long-term projection outcomes.</p> <p>Level of Evidence: Level IV, therapeutic study.</p>