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CC BY-NC-ND 4.0 · J Reconstr Microsurg Open 2017; 02(01): e72-e74
DOI: 10.1055/s-0037-1604155
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Stacked Deep Inferior Epigastric Perforator Free Flaps with Immediate Implant Placement for Unilateral Breast Reconstruction

Keith C. Hood
1   Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee
,
Nishant Ganesh Kumar
1   Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee
,
Stephane A. Braun
1   Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee
,
Kent Kye Higdon
1   Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee
› Author Affiliations
Further Information

Publication History

18 April 2017

25 May 2017

Publication Date:
06 July 2017 (online)

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Abstract

Background Autologous flaps can be used in combination with prosthesis in postmastectomy breast reconstruction. The deep inferior epigastric perforator (DIEP) flap is considered the preferred choice among autologous tissue transfer techniques. In patients with a breast volume asymmetry, there are several options for attaining an optimal reconstructive and aesthetic result.

Methods This report presents a patient who underwent a combination of reconstructive techniques to achieve volumetric symmetry.

Results The patient had a previous bilateral augmentation mammoplasty, was then treated for left breast carcinoma with a lumpectomy and radiation, and since that time had a recalcitrant left capsular contracture despite multiple operative interventions. The patient ultimately chose to have autologous left breast reconstruction and a stacked DIEP flap with simultaneous implant placement was performed.

Conclusion In cases of significant volumetric asymmetry, a stacked DIEP flap in combination with a prosthesis is a novel and safe solution.

Keywords

stacked DIEP flap - free flap with immediate implant - breast reconstruction
 

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