Abstract
Introduction
Traditional donor sites for autologous breast reconstruction include the abdomen,
thigh, buttock, and posterior thorax. The authors describe the use of the reverse
lateral intercostal perforator (LICAP) flap originating from the submammary region
as an alternative option for breast reconstruction.
Methods
Fifteen patients (30 breasts) were included in this retrospective review. The procedure
was performed for immediate reconstruction following a nipple sparing mastectomy utilizing
an inframammary incision or an inverted T pattern with preservation of the 5th anterior intercostal perforator (n=8), volume replacement after implant explantation
(n=5) and partial lower pole resurfacing with exteriorization of a portion of the
LICAP skin paddle (n=2).
Results
Flap survival was achieved in all patients. Three flaps (10%), had 1-2 cm of intraoperative distal tip ischemia managed by excision prior to inset and closure.
At 12-month post-operative follow-up, a stable result with good nipple position, breast
shape, and projection was demonstrated in all patients.
Conclusions
The reverse LICAP flap is a safe, effective and reliable option for breast reconstruction
following mastectomy.
KEYWORDS
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Article info
Publication history
Accepted:
May 2,
2023
Received:
January 4,
2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
