Introduction Autologous breast reconstruction offers many advantages over alloplastic techniques and has become the procedure of choice for many women and surgeons. Transfer of well vascularized skin and fat allows for the creation of a long-lasting, aesthetically pleasing breast mound…
Access video lecture content for this chapter online at Elsevier eBooks+ Introduction When available tissue from a single donor area is inadequate to achieve an aesthetically balanced result, stacked or conjoined multi-pedicle flaps from a single or multiple donor area(s)…
Introduction Post-mastectomy autologous breast reconstruction has evolved significantly since Tanzini described the first latissimus dorsi flap in 1906. The evolution has encompassed both limiting donor site morbidity as well as improvement in flap survival. While the focus of breast reconstruction…
Introduction Over 260,000 new cases of breast cancer are diagnosed annually in the US. Since the first report of implant-based breast reconstruction five decades ago, tremendous advances have been made in regard to surgical approaches to postmastectomy reconstruction. These advances…
Access video lecture content for this chapter online at Elsevier eBooks+ Introduction The ideal breast reconstruction gives the patient a durable result that is aesthetically pleasing while causing minimal donor site morbidity. The deep inferior epigastric artery perforator (DIEAP) flap…
Synopsis ■ The profunda artery perforator (PAP) flap is a favorable flap for autologous breast reconstruction, leaving a donor scar in the upper medial thigh, depending on design. ■ Preoperative imaging with computed tomography angiography or magnetic resonance angiography is…
Access video and video lecture content for this chapter online at Elsevier eBooks+ Introduction The transverse upper gracilis (TUG) flap, also known as the transverse musculocutaneous gracilis (TMG) flap, with the variations in flap design, is a useful donor site…
Access video and video lecture content for this chapter online at Elsevier eBooks+ Introduction Replacing tissue loses in kind is essential to achieve functionally and aesthetically pleasing outcomes in all aspects of plastic surgery; therefore, the ideal tissue for breast…
Introduction As autologous breast reconstruction increases in demand, alternative flaps continue to evolve. For the majority of patients, the abdomen is the preferred donor site primarily because patients often benefit from the improvement in contour and the relative ease of…
Introduction The superficial inferior epigastric artery (SIEA) flap is very attractive for breast reconstruction because it provides the soft, pliable, and often abundant, skin and subcutaneous tissue from the lower abdominal donor site, just like the free or pedicled transverse…