[Breast reconstruction combined with treatment of chronic lymphedema of the arm]

A case of secondary breast reconstruction is presented with treatment at the same time of lymphoedema of the upper arm. In cases of intolerance of silastic implant or following irradiation after mastectomy, a TRAM flap is performed as a first step, and at the time of nipple areolar grafting, the arm is treated with a muscular anterior latissimus dorsi flap and suction of the fore-arm.