The shape of a breast mound that has been reconstructed with autologous tissue can often be improved significantly by surgical revision. In the case of a breast mound that has too much tissue in one part of the breast and not enough in another, a large island Y-to-V advancement flap can sometimes achieve a significant improvement in breast shape and symmetry. This approach can be especially effective in improving projection in the inferior pole of the breast. The technique does create additional scars on the breast mound, however, and therefore should be applied selectively.
Y-to-V island advancement flap - TRAM flap - deep inferior epigastric perforator flap - autologous tissue breast reconstruction
