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Aesthetic Refinements in Breast Augmentation with Deep Inferior Epigastric Perforator Flap: A Case Report

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Abstract

The principle of free flaps based on perforator vessels and the development of deep inferior epigastric perforator flap (DIEP) is currently used in reconstructive microsurgery. Clinical experience and research have shown that perforator flaps provide numerous advantages over the conventional myocutaneous flaps and combine muscle preservation and sequel minimization at the donor site. Clinical use of autogenous tissue or perforator flaps in aesthetic breast surgery or augmentation mammaplasty is not a common practice. The authors indicate the use of the DIEP flap to correct severe hypomastia after bilateral breast augmentation with silicon implants, followed by infection and implant extrusion. Using the DIEP flap is a new option for patients who have had complications from breast augmentation with implants or severe hypomastia and have excess tissue in the lower abdomen. Additional studies and clinical research are necessary to evaluate the real benefits as compared to silicone implants, such as operative time, the recovery period and financial implications.

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Acknowledgements

This Paper was presented at the 2001 American Society of Plastic Surgeons Scientific Meeting, Orlando, FL and at the 2001 Brazilian Conference of Plastic Surgery, São Paulo, Brazil.

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Authors and Affiliations

  1. Division of Plastic Surgery, University of Sao Paulo School of Medicine, São Paulo, Brazil

    Alexandre Mendonça Munhoz, Luis Henrique Ishida, Gustavo Gibin Duarte, Marcelo Sacramento Cunha, Eduardo Montag, Gustavo Sturtz, Rolf Gemperli & Marcus Castro Ferreira

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  1. Alexandre Mendonça Munhoz
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  2. Luis Henrique Ishida
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  3. Gustavo Gibin Duarte
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  4. Marcelo Sacramento Cunha
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  5. Eduardo Montag
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  6. Gustavo Sturtz
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  7. Rolf Gemperli
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  8. Marcus Castro Ferreira
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Correspondence to Alexandre Mendonça Munhoz.

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Munhoz, A., Ishida, L., Duarte, G. et al. Aesthetic Refinements in Breast Augmentation with Deep Inferior Epigastric Perforator Flap: A Case Report . Aesth. Plast. Surg. 27, 107–111 (2003). https://doi.org/10.1007/s00266-002-0116-0

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  • DOI: https://doi.org/10.1007/s00266-002-0116-0

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