Atlas of Reconstructive Breast Surgery

Implant Breast Reconstruction – Revision

Introduction Rates of breast reconstruction after mastectomy are increasing and have been paralleled by a rise in implant-based reconstruction. Single-stage immediate implant placement and two-stage tissue-expander techniques have demonstrated good safety profiles and patient satisfaction with outcomes. Advances in total…

Delayed Two-Stage Implant-Based Breast Reconstruction

Disclosure : The authors have no financial interest to declare in relation to the drugs, devices, and products mentioned in this article. Introduction Implant-based breast reconstruction can also occur in a two-stage delayed approach after the primary mastectomy has been…

Immediate Prepectoral Implant Breast Reconstruction

Introduction Prepectoral implant–based breast reconstruction is a recent addition to the breast reconstructive armamentarium that is rapidly being adopted given its simplicity and reported potential benefits. The technique involves placing the implant subcutaneously over the pectoralis major muscle, as opposed…

Immediate Implant Breast Reconstruction – One-Stage

Introduction Implant-based, or alloplastic, breast reconstruction is the most commonly performed method of breast reconstruction. Within implant-based reconstruction, myriad techniques and reconstructive strategies are at the surgeon's disposal to provide each individual patient with a successful breast reconstruction. Traditional immediate…

Latissimus Dorsi Flap Breast Reconstruction

Introduction The latissimus dorsi (LD) flap is a reliable option for primary autologous breast reconstruction and for salvage of failed prior breast reconstruction because of its robust perfusion, consistent vascular anatomy, and concealable donor site scar. However, the traditional LD…

Free Transverse Upper Gracilis Flap Breast Reconstruction

Introduction The armamentarium available to both the plastic surgeon and breast reconstruction patient has continued to expand with improvement of techniques and the actual number of flaps and implant alternatives available. The transverse upper gracilis (TUG) flap provides just such…

Free Profunda Artery Perforator Flap Breast Reconstruction

Introduction Breast reconstruction is a common challenge faced by many surgeons working in the plastic and reconstructive arenas. There are various options for autologous breast reconstruction. The more commonly performed procedures include the deep inferior epigastric perforator flap (DIEP) and…

Free Gluteal Perforator Flap Breast Reconstruction

Introduction The advent of gluteal artery perforator (GAP) flaps has served to increase the surgeon's armamentarium in autologous breast reconstruction. In 1993, Koshima et al. originally described local-regional GAP flaps for repair of sacral pressure sores. Later in 1995, Allen and…