Abstract
Prophylactic mastectomies have increased during the last 10 years. Breast reconstructions with free flaps are performed because they provide natural and long-lasting results. In bilateral mastectomy, a simultaneous bilateral superior gluteal artery perforator (SGAP) flap can provide good reconstruction with autologous tissue and low donor-site morbidity. This report describes the case of a “body-lift”-like pattern for a simultaneous bilateral SGAP flap procedure. This innovative pattern provides good aesthetic results for the abdomen and buttocks and preserves the option of using a deep inferior epigastric artery and vein perforator (DIEP) flap in case one SGAP flap fails. After 3 months, the patient was very satisfied with the results. The SGAP flap remains undeniably an alternative to the DIEP flap when the abdominal excess is insufficient for a bilateral reconstruction.
Level of Evidence III
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Chaput, B., Fade, G., Sinna, R. et al. “Body-Lift”-Like Pattern for the Simultaneous Bilateral Superior Gluteal Artery Perforator Flap in Breast Reconstruction. Aesth Plast Surg 37, 52–55 (2013). https://doi.org/10.1007/s00266-012-0014-z
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DOI: https://doi.org/10.1007/s00266-012-0014-z