Body Lift Perforator Flap Breast Reconstruction: A Review of 100 Flaps in 25 Cases

DellaCroce FJ, Sullivan SK, Trahan C, et al (Ctr for Restorative Breast Surgery, New Orleans, LA) Plast Reconstr Surg 129:551-561, 2012^§

Abstract

Background

Advances in autologous breast reconstruction continue to mount and have been fueled most substantially with refinement of perforator flap techniques.

Methods

For patients with a desire for autogenous breast reconstruction and insufficient abdominal fat for conventional abdominal flaps, secondary options such as gluteal perforator flaps or latissimus flaps are usually considered. Patients who also have insufficient soft tissue in the gluteal donor site and preference to avoid an implant, present a vexing problem. The authors describe an option that allows for incorporation of four independent perforator flaps for bilateral breast reconstruction when individual donor sites are too thin to provide necessary volume. The authors present their experience with this technique in 25 patients with 100 individual flaps over 5 years.

Results

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