Summary
Introduction
Immediate reconstruction using tissue expander/implants following prophylactic mastectomy
for smaller breasts is a reliable means of providing similar size, shape and symmetrical
reconstructions. The superiorly based pectoralis fascial flap allows an immediate
reconstruction of the inferior pole and may eliminate the need for tissue expansion.
Methods
The superiorly based pectoralis fascial flap and implant was performed on 5 patients
(10 breasts). The Becker 35 expandable implant was used in all cases and average size
was 349 (range 290–400cc). Average age was 33 (range 21–43). The average BMI was 23
(range 20–26). One patient underwent further tissue expansion of the Becker 35 postoperatively.
One patient developed a seroma in the abdominal fascial flap donor site that settled
without the need for drainage. There were no other complications.
Conclusion
The superiorly based pectoralis fascial flap provides a one-stop reconstruction of
the lower pole and can eliminate the need for tissue expansion in patients with small
breasts.
Keywords
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References
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Article info
Publication history
Published online: January 11, 2012
Accepted:
December 20,
2011
Received:
May 16,
2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
