Breasts

Modern Approaches to Alternative Flap-Based Breast Reconstruction

3 days ago   |   By The Clinics

Autologous free flap breast reconstruction allows for natural-appearing breasts, while avoiding the risks associated with implants, including exposure, rupture, and capsular contracture. However, this is offset by a much higher technical challenge. The abdomen remains the most common tissue source for autologous breast reconstruction. However, in patients with scant abdominal tissue, prior abdominal surgery, or a desire to avoid scarring in this region, thigh-based flaps remain a viable alternative. The profunda artery perforator flap has emerged as a preferred alternative tissue source...
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Modern Approaches to Alternative Flap-Based Breast Reconstruction

3 days ago   |   By The Clinics

Total breast reconstruction following mastectomy requires multiple components to achieve an aesthetic result. In some situations, significant skin is required to provide the needed surface area to allow breast projection and breast ptosis. Additionally, ample volume is required to reconstruct all breast quadrants and provide sufficient projection. All aspects of the breast base must be filled to achieve total breast reconstruction. In very specific circumstances, multiple flaps are employed to accomplish this level of uncompromised aesthetic breast reconstruction. The abdomen, thigh...
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Modern Approaches to Alternative Flap-Based Breast Reconstruction

3 days ago   |   By The Clinics

The transverse upper/myocutaneous gracilis is a medial thigh-based flap primarily reserved as a secondary choice for autologous reconstruction of small to moderate-sized breasts in women without a suitable abdominal donor site. Its consistent and reliable anatomy based on the medial circumflex femoral artery permits expedient flap harvest with relatively low donor site morbidity. The primary disadvantage is the limited achievable volume, often necessitating augmentation such as extended flap modifications, autologous fat grafting, flap stacking, or even implant placement.
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Modern Innovations in Breast Surgery: Robotic Breast Surgery and Robotic Breast Reconstruction

3 days ago   |   By The Clinics

Robotic surgery has a history of applications in multiple surgical areas and has been applied in plastic surgery over the past decade. Robotic surgery allows for minimal access incisions and decreased donor site morbidity in breast extirpative surgery, breast reconstruction, and lymphedema surgery. Although a learning curve exists for the use of this technology, it can be safely applied with careful preoperative planning. Robotic nipple-sparing mastectomy may be combined with either robotic alloplastic or robotic autologous reconstruction in the appropriate patient.
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