The latissimus dorsi added fat flap is an alternative method of natural tissue breast reconstruction. A significant volume of additional subcutaneous back fat is left attached to a traditional latissimus dorsi flap, avoiding the need for an additional implant. The surgical technique and results in 15 patients are discussed.
The harvesting of the cephalic vein is a simple and effective technique for providing or augmenting venous drainage in free TRAM flap breast reconstruction. It may be divided distally and rotated about the infraclavicular fossa as a cephalic vein transfer or used as a source of free vein grafts. It is easily harvested with minimal morbidity. Its anatomy, surgical technique, indications, and results of use are discussed. In some circumstances, a cephalic vein transfer may allow greater areas of the free TRAM flap to be used more safely. This is discussed.
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