Breast Reconstruction with Perforator Flap Transplants from Identical Twins

  • Thais O. Polanco
  • Robert J. AllenJr.Email author
  • Robert J. AllenSr.


Many technical advances in the field of microvascular surgery have surfaced since the advent of the first successful kidney transplantation. Identical twin transplantation has the advantage of transferring tissue without immunologic barriers, thus not subjecting patients to the adverse events secondary to immunosuppressive drugs and of rejection. Perforator free flaps, specifically the DIEP flap, have become the gold standard for autologous breast reconstruction (ABR) – resulting in less donor-site morbidity and excellent aesthetic results. Challenges in some patients electing ABR include history of failed breast reconstruction, previous abdominal surgeries, and thin body habitus. When situations such as these arise, it is feasible to perform a perforator free flap transplantation in monozygotic twins. In this chapter, the authors review their unique clinical experience in breast reconstruction with transplantation of perforator free flaps from one identical twin to another.


Breast reconstruction Microsurgery Identical twins Syngeneic isotransplantation 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Thais O. Polanco
    • 1
  • Robert J. AllenJr.
    • 1
    Email author
  • Robert J. AllenSr.
    • 2
  1. 1.Department of Plastic and Reconstructive SurgeryMemorial Sloan Kettering Cancer CenterNew YorkUSA
  2. 2.Department of SurgeryOchsner Medical Center, LSU Health SciencesNew OrleansUSA

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