Fasciocutaneous Infragluteal Flap for Breast Reconstruction
In the last decades, there has been a trend in breast reconstructions toward more and more free perforator flaps. The Deep Inferior Epigastric Perforator Flap is commonly used with the great advantage of not disturbing the rectus abdominis muscle. For thin patients, this donor area is unavailable and other options, such as implants or free flaps from the buttock region, can be used. SGAP and IGAP are useful tools for reconstruction, but their pedicle is relatively short and the donor area volume is significantly changed. The Fasciocutaneous Infragluteal Flap (FCI) is based on the end artery of infragluteal vessels and has the advantage of a long pedicle. Its anatomy is relatively constant and the donor area is well hidden. Good upper pole fullness is obtained with this flap, and the dissection and preparation of the flap is not difficult.
KeywordsBreast Reconstruction Perforator Flap Donor Area Skin Paddle Inferior Gluteal Artery
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