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Bilateral anterolateral thigh flaps for large‐volume breast reconstruction
Author(s) -
Rosenberg Jason J.,
Chandawarkar Rajiv,
Ross Merrick I.,
Chevray Pierre M.
Publication year - 2004
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.20020
Subject(s) - medicine , abdominoplasty , breast reconstruction , surgery , thigh , plastic surgery , rectus abdominis muscle , soft tissue , microsurgery , breast cancer , cancer
Autologous tissue reconstruction of a large breast in patients who are not candidates for a TRAM flap is a difficult problem. We present a case report of the use of bilateral free anterolateral thigh (ALT) flaps for immediate reconstruction of a unilateral large breast in a patient who had a previous abdominoplasty. Use of ALT flaps allows two or three surgical teams to work simultaneously, does not require intraoperative patient repositioning, has minimal donor‐site morbidity, and can provide ample malleable soft tissue for breast reconstruction. These are advantages compared to the use of gluteal donor sites. The disadvantages include more conspicuous donor‐site scarring on the anterior thighs. © 2004 Wiley‐Liss, Inc.