Sequential Bilateral Breast Reconstruction Using a Split Solitary Deep Inferior Epigastric Artery Perforator Flap

Abstract

Autogenous tissue bilateral breast reconstruction often requires microsurgical tissue transfers. The reality is that sometimes revascularization cannot be accomplished, leading to a total flap failure. If one flap survives, another attempt using a second flap is necessary to achieve symmetry. Nonmicrosurgical options to achieve this are limited. If the successful flap is bulky enough, it can be bisected to create a local island flap based on the original flap pedicle to allow completion of the contralateral reconstruction. This concept is here presented using a split deep inferior epigastric artery perforator flap for sequential bilateral breast reconstruction.

Keywords

bilateral breast reconstruction - deep inferior epigastric artery perforator flap

• References

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