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Free DIEAP and SGAP flap breast reconstruction after abdominal/gluteal liposuction

2006; Elsevier BV; Volume: 59; Issue: 10 Linguagem: Inglês

10.1016/j.bjps.2006.04.004

1878-0539

Bob De Frene, Koenraad Van Landuyt, Moustapha Hamdi, Phillip Blondeel, Nathalie Roche, Dirk Voet, Stan Monstrey,

Breast Implant and Reconstruction

Perforator flaps are widely used in our unit for breast reconstruction. They provide ample tissue with minimal donor site morbidity together with long lasting aesthetic results. Increasing number of patients may have liposuction procedure which may jeopardise areas such as the abdomen and the buttock which are the donor sites for perforator-free flaps in breast reconstruction. Therefore, liposuction has been considered as a relative contraindication of raising perforator flaps. Six patients who had previous liposuction of the donor sites underwent autologous breast reconstruction with perforator-free flaps. Colour Duplex imaging was obtained in all cases preoperatively in order to evaluate the blood supply to the flap and to map the perforators. There were five deep inferior epigastric artery flaps (DIEP) and one superior gluteal artery perforator (SGAP) flap used. Total flap survival was obtained in all cases. Postoperative course was uneventful. Our results showed that raising perforator flaps after liposuction of the donor sites is possible. Preoperative radiological evaluation of the perforators is mandatory for such difficult cases.