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Body Lift Perforator Flap Breast Reconstruction

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Breast Reconstruction

Abstract

Patients seeking autogenous breast reconstruction with the quandary of insufficient abdominal donor fatty volume are typically presented a range of secondary options such as gluteal perforator flaps, latissimus flaps, or a variety of other perforator flaps. Individuals, who also have insufficient soft tissue in these secondary donor sites and prefer to avoid an implant, present a vexing problem. The Body Lift Perforator flap addresses this previously unmet need with a technique that utilizes layered deep inferior epigastric perforator/gluteal perforator flap combinations for each breast. This incorporates four independent perforator flaps for bilateral breast reconstruction. The harvest of truncal fat with a circumferential body lift design gives the added benefit of improved body contour as a complement to this powerful breast reconstructive technique.

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References

  1. Arnez ZM, Pogorelec D (2004) Breast reconstruction by the free transverse gracilis (TUG) flap. Br J Plast Surg 57(1):20–26

    Article  PubMed  CAS  Google Scholar 

  2. Saad A, Sadeghi A (2012) The anatomic basis of the profunda femoris artery perforator flap: a new option for autologous breast reconstruction-a cadaveric and computer tomography angiogram study. J Reconstr Microsurg 28(6):381–386

    PubMed  Google Scholar 

  3. Kroll SS, Baldwin B (1992) A comparison of outcomes using three different methods of breast reconstruction. Plast Reconstr Surg 90(3):455–462

    Article  PubMed  CAS  Google Scholar 

  4. Bostwick J 3rd (1995) Breast reconstruction following mastectomy. CA Cancer J Clin 45(5):289–304

    Article  PubMed  Google Scholar 

  5. Abitbol MM (1996) The shapes of the female pelvis: contributing factors. J Reprod Med 41(4):242–250

    PubMed  CAS  Google Scholar 

  6. de Wildt RP, Tuinder S, van der Hulst RR (2009) Substantial chest-wall deformity following tissue expansion after radiotherapy. Eur J Plast Surg 32(6):337–340

    Article  PubMed  PubMed Central  Google Scholar 

  7. DellaCroce FJ, Sullivan SK (2005) Application and refinement of the superior gluteal artery perforator free flap for bilateral simultaneous breast reconstruction. Plast Reconstr Surg 116(1):97–103

    Article  PubMed  CAS  Google Scholar 

  8. Weintraub JL, Kahn DM (2008) The timing of implant exchange in the development of capsular contracture after breast reconstruction. Eplasty 8, e31

    PubMed  PubMed Central  Google Scholar 

  9. Nguyen MD, Chen C, ColakoÄŸlu S, Morris DJ, Tobias AM, Lee BT (2010) Infectious complications leading to explantation in implant-based breast reconstruction with AlloDerm. Eplasty 10, e48

    PubMed  PubMed Central  Google Scholar 

  10. Berry T, Brooks S, Sydow N, Djohan R, Nutter B, Lyons J, Dietz J (2010) Complication rates of radiation on tissue expander and autologous tissue breast reconstruction. Ann Surg Oncol 17(Suppl 3):202–210

    Article  PubMed  Google Scholar 

  11. Snell L, McCarthy C, Klassen A, Cano S, Rubin L, Hurley K, Montgomery GH, Cordeiro PG, Pusic A (2010) Clarifying the expectations of patients undergoing implant breast reconstruction: a qualitative study. Plast Reconstr Surg 126(6):1825–1830

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  12. Pelle-Ceravolo M, Del Vescovo A, Bertozzi E, Molinari P (2004) A technique to decrease breast shape deformity during muscle contraction in submuscular augmentation mammaplasty. Aesthetic Plast Surg 28(5):288–294

    Article  PubMed  Google Scholar 

  13. Figus A, Mazzocchi M, Dessy LA, Curinga G, Scuderi N (2009) Treatment of muscular contraction deformities with botulinum toxin type A after latissimus dorsi flap and sub-pectoral implant breast reconstruction. J Plast Reconstr Aesthet Surg 62(7):869–875

    Article  PubMed  Google Scholar 

  14. DellaCroce FJ, Sullivan SK (2007) Chimeric stacked deep inferior epigastric perforator flap breast reconstruction: a new solution to an old problem. J Reconstr Microsurg 23:418

    Google Scholar 

  15. DellaCroce FJ, Sullivan SK, Trahan C (2011) Stacked deep inferior epigastric perforator flap breast reconstruction: a review of 110 flaps in 55 cases. Plast Reconstr Surg 127(3):1093–1099

    Article  PubMed  CAS  Google Scholar 

  16. Jones BM, Toft NJ (2008) Bodylifting: indications, technique and complications. J Plast Reconstr Aesthet Surg 61(7):730–735

    Article  PubMed  CAS  Google Scholar 

  17. Lockwood TE (2004) Maximizing aesthetics in lateral-tension abdominoplasty and body lifts. Clin Plast Surg 31(4):523–537

    Article  PubMed  Google Scholar 

  18. Kroll SS, Sharma S, Koutz C, Langstein HN, Evans GRD, Robb GL, Chang DW, Reece GP (2001) Postoperative morphine requirements of free TRAM and DIEP flaps. Plast Reconstr Surg 107(2):338–341

    Article  PubMed  CAS  Google Scholar 

  19. Petit JY, Rietjens M, Ferreira MA, Montrucoli D, Lifrange E, Martinelli P (1997) Abdominal sequelae after pedicled TRAM flap breast reconstruction. Plast Reconstr Surg 99(3):723–729

    Article  PubMed  CAS  Google Scholar 

  20. DellacCroce FJ, Sullivan SK, Trahan C, Jenkins CE (2012) Body lift perforator flap breast reconstruction: a review of 100 flaps in 25 cases. Plast Reconstr Surg 129(3):551–561

    Article  Google Scholar 

  21. Koshima I, Yamamoto H, Hosoda M, Moriguchi T, Orita Y, Nagayama H (1993) Free combined composite flaps using the lateral circumflex femoral system for repair of massive defects of the head and neck regions: an introduction to the chimeric flap principle. Plast Reconstr Surg 92(3):411–420

    Article  PubMed  CAS  Google Scholar 

  22. DellaCroce FJ, Allen R, Sullivan SK (2002) Deep inferior epigastric perforator flap reconstruction. Semin Plast Surg 16:7–17

    Article  Google Scholar 

  23. Craigie JE, Allen RJ, DellaCroce FJ, Sullivan SK (2003) Autogenous breast reconstruction with the deep inferior epigastric perforator flap. Clin Plast Surg 30(3):359–369

    Article  PubMed  Google Scholar 

  24. Arnez ZM, Scamp T (1992) The bipedicled free TRAM flap. Br J Plast Surg 45(3):214–218

    Article  PubMed  CAS  Google Scholar 

  25. Agarwal JP, Gottlieb LJ (2007) Double pedicle deep inferior epigastric perforator/muscle sparing TRAM flaps for unilateral breast reconstruction. Ann Plast Surg 58(4):359–363

    Article  PubMed  CAS  Google Scholar 

  26. Figus A, Fioramonti P, Ramakrishan V (2007) Stacked free SIEA/DIEP flap for unilateral breast reconstruction in a thin patient with an abdominal vertical midline scar. J Reconstr Microsurg 23(8):523–526

    Article  PubMed  Google Scholar 

  27. Ng RL, Youssef A, Kronowitz SL, Lipa JE, Potochny J, Reece GP (2004) Technical variations of the bipedicled TRAM flap in unilateral breast reconstruction: effects of conventional versus microsurgical techniques of pedicle transfer on complication rates. Plast Reconstr Surg 114(2):374–384

    Article  PubMed  Google Scholar 

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Correspondence to Frank J. DellaCroce M.D. .

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DellaCroce, F.J., Blum, C., Sullivan, S.K., Trahan, C., Wise, M.W. (2016). Body Lift Perforator Flap Breast Reconstruction. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_58

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  • DOI: https://doi.org/10.1007/978-3-319-18726-6_58

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18725-9

  • Online ISBN: 978-3-319-18726-6

  • eBook Packages: MedicineMedicine (R0)

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