Reconstruction of gluteal defects using free flaps

The TRAM flap, DIEP flap, and gluteal free flaps are routinely used for breast reconstruction. However, these have seldom been described for reconstruction of buttock deformities. We present three cases of free flaps used to restore significant buttock contour deformities. They introduce vascularised bulky tissue and provide adequate cushioning for future sitting, as well as correction of the aesthetic defect.