Patients’ Aesthetic Concerns After Horizontally Placed Abdominal Free Flap Breast Reconstruction

Kim, Eun Key; Suh, Young Chul; Maldonado, Andrés A.; Yun, Jiyoung; Lee, Taik Jong

doi:10.1007/s00266-015-0532-6

Cited by 10 publications

(10 citation statements)

References 18 publications

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“…This may augment the already problematic lateral subunit of the chest in addition to increasing axillary soft tissue excess and disrupting the natural lateral breast contour. Following free tissue transfer breast reconstruction from the abdominal donor site, the most common revision procedures include abdominal scar improvements, liposuction of the transferred flap, and fat grafting of the reconstructed breast [3]. In their review of 150 patients with abdominal free flaps for breast reconstruction, Kim et al found that 18.7% of patients required liposuction of the lateral breast and 20% received fat grafting of the superomedial pole [3].…”

Section: Discussionmentioning

confidence: 99%

“…Large volume suctioning is associated with an increased risk of fat necrosis [5]. The central-lateral and lower-lateral breast are most common for liposuction, whereas fat grafting is typically employed for the improvement of the upper-medial and upper-central breast [3]. Dermatolipectomy is typically performed to remove excess lateral chest or breast soft tissues.…”

Section: Discussionmentioning

confidence: 99%

“…Several techniques have been described to improve the lateral breast following this form of breast reconstruction. Most commonly, suction-assisted lipectomy of the lateral flap, dermatolipectomy of the lateral breast and chest soft tissues, and local tissue rearrangements have been utilized [2][3]. While these are effective options for reducing excess tissue of the lateral breast, they may produce flattening of the lateral breast and blunting of the lateral breast curve.…”

Section: Introductionmentioning

confidence: 99%

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The Lateral Breast Flap Sling: A Novel Technique for the Revision of Autologous Breast Reconstructions

Greer

Pestana

2020

Cureus

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Introduction A wide breast footprint is a common complaint expressed by breast reconstruction patients following abdominally-based autologous breast reconstruction. Our aim is to describe the lateral autologous breast sling, a novel technique, which modifies the lateral flap inset to address this common patient complaint. Methods A review of consecutive women who underwent the lateral autologous breast flap sling procedure over a four-year period was completed. Patient demographics, oncologic treatment, operative interventions, surgical indications, and complications were evaluated. Results Fourteen patients underwent 21 lateral autologous breast flap sling procedures with a mean follow-up of 18 months. Eleven patients underwent delayed breast reconstruction while three were completed immediately, including one patient who had concurrent unilateral mastectomy, free tissue transfer, and a lateral breast sling procedure. Revision surgery was sought for breast asymmetry, excessive lateral breast tissue, and poor superior pole volume. Simultaneous revision procedures were performed in 12 patients and included fat grafting, abdominal donor site revision, contralateral breast reduction, and V to Y advancement of the lateral breast/ chest soft tissues. Reconstruction was complete in 10 patients, with an average duration of 13.5 months and four reconstructive procedures. There were no major perioperative complications. Three patients developed fat necrosis following lipofilling and two of these patients required drainage and/or excision of fat necrosis. Conclusions The lateral autologous breast flap sling technique adds to the armamentarium for narrowing the wide breast and improving the lateral breast curve. It may be performed in combination with other revision procedures. The use of this technique is associated with a low complication rate and does not significantly increase the total number of reconstructive procedures or duration of reconstruction. This technique may be useful during initial free tissue transfer.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Lateral Breast Flap Sling: A Novel Technique for the Revision of Autologous Breast Reconstructions

Greer

Pestana

2020

Cureus

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“…Various reconstructive options are now available, including autologous tissue-based and prosthesis-based techniques. Autologous immediate reconstruction can usually provide esthetic, natural breasts with acceptable donor site morbidities in properly selected patients [2,3].…”

Section: Introductionmentioning

confidence: 99%

Bilateral Autologous Breast Reconstruction in a Patient with Unilateral Breast Cancer: A Case Report

Kim

Son

Kim

2018

Arch Aesthetic Plast Surg

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“…Patients who have undergone abdominal free flap breast reconstruction usually have dog-ear deformities on both sides of the abdominal scar. After the abdominal free flap breast reconstruction, the most common secondary procedure is dog-ear correction of both flanks [3].…”

Section: Introductionmentioning

confidence: 99%

A New Skin Graft Donor Site Using the Abdominal Dog-Ear Deformity in Mastectomy Flap Necrosis

Choi

2018

Arch Aesthetic Plast Surg

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A 51-year-old woman underwent NSM of the right breast and immediate breast reconstruction using a DIEP flap. A dog-ear deformity was apparent on both sides of the abdominal donor site (Fig. 1).The DIEP flap was then stable, but the mastectomy flap gradually became demarcated. She developed skin necrosis of the mastectomy flap, resulting in a significant skin defect (12 × 9 cm) (Fig. 2). Afterward, we planned a reconstruction for skin necrosis and

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Patients’ Aesthetic Concerns After Horizontally Placed Abdominal Free Flap Breast Reconstruction

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 10 publications

References 18 publications

The Lateral Breast Flap Sling: A Novel Technique for the Revision of Autologous Breast Reconstructions

The Lateral Breast Flap Sling: A Novel Technique for the Revision of Autologous Breast Reconstructions

Bilateral Autologous Breast Reconstruction in a Patient with Unilateral Breast Cancer: A Case Report

A New Skin Graft Donor Site Using the Abdominal Dog-Ear Deformity in Mastectomy Flap Necrosis

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