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Modern Approaches to Alternative Flap-Based Breast Reconstruction: Stacked Flaps
Nicholas T Haddock1, Sumeet S Teotia1
1Department of Plastic Surgery, University of Texas Southwestern, 1801 Inwood, Dallas, TX 75390, USA.
Clinics in Plastic Surgery
|February 22, 2023
Summary
Achieving aesthetic total breast reconstruction after mastectomy often requires multiple tissue flaps for optimal volume and projection. Utilizing donor sites like the abdomen or thigh ensures comprehensive reconstruction with minimal long-term complications.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Aesthetic Medicine
Background:
- Total breast reconstruction post-mastectomy necessitates addressing skin surface area, volume, and base coverage for aesthetic outcomes.
- Significant skin and volume are crucial for achieving desired breast projection and ptosis correction.
Purpose of the Study:
- To explore the multifaceted approach required for uncompromised total breast reconstruction.
- To detail the use of multiple tissue flaps for complex unilateral and bilateral reconstructions.
Main Methods:
- Employing a combination of tissue flaps from various donor sites (abdomen, thigh, lumbar, buttock).
- Tailoring flap selection based on the specific needs for surface area, volume, and projection.
- Performing both unilateral and bilateral breast reconstructions.
Main Results:
- Successful reconstruction achieved through strategic combination of multiple flaps.
- Demonstrated ability to fill all breast quadrants and provide adequate projection.
- Superior aesthetic results in both recipient breasts and donor sites were attained.
Conclusions:
- Multiple tissue flaps are essential for comprehensive total breast reconstruction.
- Careful donor site selection and flap combination are key to achieving excellent aesthetic results.
- This approach minimizes long-term morbidity while maximizing aesthetic outcomes.
