[Gluteal flap harvest for breast reconstruction]

Area of Science:

• Plastic Surgery
• Microsurgery
• Reconstructive Surgery

Background:

• Autologous microsurgical breast reconstruction is a key component of oncologic and aesthetic surgery.
• The lower gluteal flap utilizes soft tissue from the gluteal sulcus for reconstruction.
• Perineal extension of the flap can augment tissue volume.

Purpose of the Study:

• To describe the lower gluteal flap as an autologous microsurgical breast reconstruction technique.
• To evaluate its suitability for bilateral breast reconstruction and as an alternative to other flaps like DIEP.
• To highlight its advantages and considerations in patient selection.

Main Methods:

• The lower gluteal flap procedure involves harvesting soft tissue from the gluteal sulcus.
• The flap's vascular pedicle, comprising one artery and two veins, extends from the ischial notch (8-12cm).
• Operative positioning and tissue characteristics were considered in the technique's evaluation.

Main Results:

• The lower gluteal flap provides adequate tissue volume, even for slim patients.
• The technique offers a viable option for bilateral breast reconstruction.
• It serves as an alternative for patients with contraindications to other autologous flaps, notably DIEP (Deep Inferior Epigastric Perforator) flap.

Conclusions:

• The lower gluteal flap is a reliable autologous microsurgical option for breast reconstruction.
• Its versatility makes it suitable for bilateral cases and as a salvage option.
• Careful consideration of donor site sequelae and pedicle length is balanced by consistent tissue volume.