“The use of Autologous Flaps in Breast Reshaping After Massive Weight Loss: A Systematic Review”

Mangialardi, Maria Lucia; Zena, Monica; Baldelli, Ilaria; Spinaci, Stefano; Raposio, Edoardo

doi:10.1007/s00266-021-02717-2

Cited by 3 publications

(4 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 4 From our literature review no cases of simultaneous harvesting of AICAP and LICAP flaps during a mastopexy procedure in a post-bariatric patient have been reported. 5 …”

Section: Discussionmentioning

confidence: 99%

Autologous breast augmentation combining the harvesting of the Anterior Intercostal Artery Perforator (AICAP) and Lateral Intercostal Artery Perforator (LICAP) flaps in massive weight loss patient: A case report

Ribuffo,

Mosiello,

Abbaticchio

et al. 2024

JPRAS Open

View full text Add to dashboard Cite

“… 4 From our literature review no cases of simultaneous harvesting of AICAP and LICAP flaps during a mastopexy procedure in a post-bariatric patient have been reported. 5 …”

Section: Discussionmentioning

confidence: 99%

Autologous breast augmentation combining the harvesting of the Anterior Intercostal Artery Perforator (AICAP) and Lateral Intercostal Artery Perforator (LICAP) flaps in massive weight loss patient: A case report

Ribuffo,

Mosiello,

Abbaticchio

et al. 2024

JPRAS Open

View full text Add to dashboard Cite

“…However, a common and nearly inevitable consequence of substantial weight loss is excess skin, which poses ongoing body image issues for many patients ( 38 ). We can expect that a considerable percentage of these patients will seek consultations with plastic surgeons specifically for addressing the challenges related to MWL and the resultant excess skin ( 38 - 40 ).…”

Section: Autologous Breast Reconstruction In Mwl Patientsmentioning

confidence: 99%

“…The excess skin can cause a range of functional and cosmetic challenges that are often more frustrating for individuals than their previous obese state. Notably, nearly all MWL patients suffer from breast ptosis and experiences significant breast volume deficiency ( 40 ). As a consequence, a proportion of the MWL patients will need restoration of their breast shape and sometimes breast volume.…”

Section: Autologous Breast Reconstruction In Mwl Patientsmentioning

confidence: 99%

“…However, in patients where breast volume is lacking, surgery with breast implants may be needed. Nevertheless, it is important to be cautious with breast implants in MWL patients, as they have a higher risk of complications ( 40 ). An option for patients that lack residual breast volume is breast restoration with flaps, this can be achieved with free flaps or pedicled flaps.…”

Section: Autologous Breast Reconstruction In Mwl Patientsmentioning

confidence: 99%

See 1 more Smart Citation

Combined perforator flaps for total breast reconstruction—a narrative review and insights from massive weight loss cases

Chakari,

Bille,

Lilja

et al. 2024

Gland Surg

View full text Add to dashboard Cite

Background and Objective Perforator flaps have revolutionized autologous breast reconstruction, introducing both free and pedicled options as well as the potential for combining flaps. These versatile techniques can be utilized in massive weight loss (MWL) patients, effectively addressing both functional and aesthetic challenges by using their excess skin. This review aims to explore literature on combined pedicled and free perforator flaps for total breast reconstruction, and share our own experience in the field. Methods A PubMed search up to June 2023 employed Medical Subject Headings (MeSH) terms such as ((“combined”) OR (“stacked”) OR (“conjoined”) AND (“perforator flaps”)) AND (“breast reconstruction”). Publications in English and Scandinavian languages were manually screened for relevance, and supplemental sources were also reviewed. Key Content and Findings Limited studies exist on using combined pedicled and free flaps for total breast reconstruction, although combined free flaps are more common. Perforators around the breast base, offer multiple flap options for single or combined use. In our series of 10 women, four underwent total breast reconstruction with a combination of flip-over internal mammary artery perforator (IMAP) flap and thoracodorsal artery perforator (TDAP) flap. Another subset of four, who were MWL patients, received combined TDAP and superior epigastric artery perforator (SEAP) flaps, along with body contouring procedures such as upper body lifts and vertical abdominoplasties, addressing excess skin and improving silhouette. One remaining MWL patient had deflated breasts restored using TDAP and SEAP flaps, along with an upper and lower body lift and vertical abdominoplasty. The last MWL patient underwent a risk-reducing mastectomy, also reconstructed with TDAP and SEAP flaps, and received an upper body lift and vertical abdominoplasty Conclusions Combined perforator flap techniques for combined body contouring and breast reconstruction seems safe and especially suitable for MWL patients. They offer a surgical alternative merging body contouring and breast reconstruction in cases where free flap procedures seem less favorable due to skin laxity and deflation of donor sites. However, limited literature on the topic calls for further studies.

show abstract

Commentary on: Inferior and Medially Based Breast Parenchymal Rotation Flap: A New Mastopexy Technique for Replacing Breast Volume After Breast Implant Explantation

Hammond

2023

Aesthetic Surgery Journal

View full text Add to dashboard Cite

“The use of Autologous Flaps in Breast Reshaping After Massive Weight Loss: A Systematic Review”

Cited by 3 publications

References 45 publications

Autologous breast augmentation combining the harvesting of the Anterior Intercostal Artery Perforator (AICAP) and Lateral Intercostal Artery Perforator (LICAP) flaps in massive weight loss patient: A case report

Autologous breast augmentation combining the harvesting of the Anterior Intercostal Artery Perforator (AICAP) and Lateral Intercostal Artery Perforator (LICAP) flaps in massive weight loss patient: A case report

Combined perforator flaps for total breast reconstruction—a narrative review and insights from massive weight loss cases

Commentary on: Inferior and Medially Based Breast Parenchymal Rotation Flap: A New Mastopexy Technique for Replacing Breast Volume After Breast Implant Explantation

Contact Info

Product

Resources

About