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Bilateral breast reconstruction using bilateral anterolateral thigh flaps: a case report.
Christina Bernier1, Rozina Ali, Alanna Rebecca
1Division of Plastic Surgery, Centre Hospitalier de l'Université de Montreal, Hôpital Notre Dame, Canada.
Annals of Plastic Surgery
|January 23, 2009
Summary
The anterolateral thigh (ALT) flap offers a viable option for breast reconstruction when abdominal tissue is insufficient. This technique provides satisfactory aesthetic outcomes for selected patients, even those with a low BMI.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Autologous breast reconstruction options can be limited by prior abdominal surgeries or inadequate tissue.
- The anterolateral thigh (ALT) flap is an alternative donor site for breast reconstruction.
Observation:
- A case study involving a 41-year-old patient with a low body mass index (19.8 kg/m) and previous liposuction underwent bilateral breast reconstruction.
- Bilateral ALT flaps were utilized for the reconstruction, with the patient positioned supine utilizing a two-team approach.
Findings:
- At a 2-year follow-up, the patient reported high satisfaction with her reconstructed breasts, achieving a B cup size.
- The ALT flap demonstrated advantages including a long pedicle, sufficient adipose tissue, and suitability for supine positioning.
Implications:
- The anterolateral thigh flap is a credible alternative for bilateral autologous breast reconstruction in carefully selected patients.
- This approach expands reconstructive possibilities for patients who are not candidates for traditional abdominal flap procedures.