Premium
A second superior gluteal artery perforator flap with previous liposuction to the same breast after resection of initial SGAP breast reconstruction due to cancer recurrence
Author(s) -
Avashia Yash J.,
Desrosiers Arthur E.,
Flores Jaime I.
Publication year - 2012
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.21989
Subject(s) - medicine , liposuction , surgery , perforator flaps , breast reconstruction , contraindication , free flap , breast cancer , microsurgery , mammaplasty , cancer , alternative medicine , pathology
Free superior gluteal artery perforator (SGAP) flaps are a reliable option for breast reconstruction in patients with insufficient abdominal tissue or abdominal scarring. Liposuction in a donor site is a relative contraindication for harvesting a free flap, despite current case reports challenging this tenet. We describe a case of a 36‐year‐old woman who underwent unilateral breast reconstruction with free SGAP flap. She underwent liposuction of the contralateral buttock for symmetry. Approximately, one year post‐operatively, she developed local recurrence of the breast cancer. Previously liposculpted buttock was used as donor site for a second free SGAP flap anastomosed to internal mammary artery. © 2012 Wiley Periodicals, Inc. Microsurgery, 2012.