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Semin Plast Surg 2019; 33(01): 059-066
DOI: 10.1055/s-0039-1677703
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Free Tissue Breast Reconstruction

Rami Dibbs
1   Louisiana State University Health Science Center, New Orleans, Louisiana
,
Jeff Trost
2   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Valerie DeGregorio
2   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Shayan Izaddoost
2   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
08 March 2019 (online)

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Abstract

Free tissue transfer serves as a modern workhorse for breast reconstruction. Advancements in microsurgical technique have allowed for the development of free flap procedures that produce an aesthetic breast while minimizing donor site morbidity. Here, the authors review the use of different free flap procedures for breast reconstruction with a focus on the preferred and most commonly used flap, the deep inferior epigastric perforator flap. Each flap has its advantages and drawbacks, and certain patient risk factors increase postoperative complications. Other techniques of breast reconstruction including pedicled flaps and adjunctive fat grafting are also briefly discussed.

Keywords

breast reconstruction - free flap - microsurgery - DIEP - abdominal-based reconstruction

Financial Disclosure Statement

The authors have no financial disclosures.


 

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