[Technic, limits and complications of breast reconstruction with island flaps of the rectus abdominis muscle]

A definite assessment of mammary repair, using myocutaneous island flaps of the abdominorectal muscle, is likely to underline the unambiguous benefits of the approach. Lasting soft breast consistency, individual adjustability of breast shape, and availability of sufficient tissue quantity are among the major measurable advantages. Caution, however, is necessary for the risk of island flap necrosis in case of excessive ptosis of the breast restored.