Mastopexy with autologous augmentation after massive weight loss: the intercostal artery perforator (ICAP) flap
| Autor: | Stephanie Kwei, Loren J. Borud, Bernard T. Lee |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Reoperation medicine.medical_specialty Esthetics medicine.medical_treatment Mammaplasty Gastric Bypass Free flap Transplantation Autologous Surgical Flaps Hematoma medicine.artery Weight Loss medicine Humans Wound dehiscence business.industry Mastopexy Middle Aged medicine.disease Surgery Plastic surgery Treatment Outcome Seroma Female Breast reconstruction business Intercostal arteries |
| Zdroj: | Annals of plastic surgery. 57(4) |
| ISSN: | 0148-7043 |
| Popis: | The reconstruction of breast and upper-body deformities in massive weight loss (MWL) patients presents specific challenges to the plastic surgeon. In addition to significant breast ptosis and loss of breast volume, bariatric patients also have excessive lateral axillary and posterior truncal tissue that may require dermolipectomy for correction. A Wise-pattern mastopexy was designed with a pedicled fasciocutaneous flap based on the intercostal artery perforators (ICAP) to correct breast ptosis, to restore breast volume, and to eliminate redundant upper truncal tissue. Five MWL patients underwent mastopexy with ICAP flap augmentation. All patients had stable and esthetically pleasing results 1, 3, and 6 months postoperatively. There were no complications of infection, wound dehiscence, seroma, or hematoma. Furthermore, there was no evidence of flap loss or tissue necrosis. Mastopexy with autologous augmentation using the ICAP flap was found to be a reliable method of breast reconstruction in the MWL patient. |
| Databáze: | OpenAIRE |
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