Breast Reconstruction with Anterolateral Thigh Flap

  • Kim Alexander TønsethEmail author
  • Tyge Tind Tindholdt


The ALT flap can be considered as an alternative when other conservative autologous breast reconstruction techniques are inappropriate. The main advantage with this flap is that it is a well-known flap for most microsurgeons and it has relatively predictable anatomy with a long pedicle and suitable vessel diameter. The procedure can be performed without repositioning the patient during surgery allowing a two-team approach. The donor site morbidity is limited, although it has to be discussed with each patient. The reconstruction technique is primarily limited to patients with small to moderate breast sizes.


Donor Site Breast Reconstruction Donor Site Morbidity Anterolateral Thigh Deep Femoral Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Song YG, Chen GZ, Song YL (1984) The free thigh flap: a new free flap concept based on the septocutaneous artery. Br J Plast Surg 37(2):149–159PubMedCrossRefGoogle Scholar
  2. 2.
    Wei F, Souminen S, Cheng M, Celik N, Lai Y (2002) Anterolateral thigh flap for postmastectomy breast reconstruction. Plast Reconstr Surg 110(1):82–88PubMedCrossRefGoogle Scholar
  3. 3.
    Kimata Y, Uchiyama K, Sekido M, Sakuraba M, Iida H, Nakatsuka T, Harii K (1999) Anterolateral thigh flap for abdominal wall reconstruction. Plast Reconstr Surg 103(4):1191–1197PubMedCrossRefGoogle Scholar
  4. 4.
    Koshima I (2000) Free anterolateral thigh flap for reconstruction of head and neck defects following cancer ablation. Plast Reconstr Surg 105(7):2358–2360PubMedCrossRefGoogle Scholar
  5. 5.
    Zhang Q, Qiao Q, Yang X, Wang H, Robb GL, Zhou G (2010) Clinical application of the anterolateral thigh flap for soft tissue reconstruction. J Reconstr Microsurg 26(2):87–94PubMedCrossRefGoogle Scholar
  6. 6.
    Serletti JM, Moran SL (2000) Microvascular reconstruction of the breast. Semin Surg Oncol 19(3):264–271PubMedCrossRefGoogle Scholar
  7. 7.
    Kaplan JL, Allen RJ, Guerra A, Sullivan SK (2003) Anterolateral thigh flap for breast reconstruction: review of the literature and case reports. J Reconstr Microsurg 19(2):63–68PubMedCrossRefGoogle Scholar
  8. 8.
    Rosenberg JJ, Chandawarkar R, Ross MI, Chevray PM (2004) Bilateral anterolateral thigh flaps for large-volume breast reconstruction. Microsurgery 24(4):281–284PubMedCrossRefGoogle Scholar
  9. 9.
    Krochmal DJ, Rebecca AM, Casey WJ, Smith AA (2011) Anterolateral thigh flap salvage following failed deep inferior epigastric artery perforator breast reconstruction. Can J Plast Surg 19(1):27–30PubMedPubMedCentralGoogle Scholar
  10. 10.
    Bernier C, Ali R, Rebecca A, Cheng MH (2009) Bilateral breast reconstruction using bilateral anterolateral thigh flaps. Ann Plast Surg 62(2):124–127PubMedCrossRefGoogle Scholar
  11. 11.
    Tindholdt TT, Tønseth KA (2007) Breast reconstruction with thigh flap. Tidsskr Nor Laegeforen 127(15):1948–1949PubMedGoogle Scholar
  12. 12.
    Collins J, Ayeni O, Thoma A (2012) A systematic review of anterolateral thigh flap donor site morbidity. Can J Plast Surg 20(1):17–23PubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Kim Alexander Tønseth
    • 1
    • 2
    Email author
  • Tyge Tind Tindholdt
    • 1
  1. 1.Department of Plastic and Reconstructive SurgeryOslo University HospitalNydalenNorway
  2. 2.Avdeling for Plastikk- og Rekonstruktiv KirurgiKlinikk for Kirurgi og Nevrofag, Oslo Universsitetssykehus – RikshospitaletNydalenNorway

Personalised recommendations