Postmastectomy reconstruction by a contralateral abdominomammary flap

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Oncology

Background:

• Mastectomy often necessitates breast reconstruction.
• Existing techniques may have limitations in achieving natural aesthetics and contour.

Purpose of the Study:

• To present a new, multi-principle technique for breast reconstruction following mastectomy.
• To utilize abdominal and contralateral breast tissue for improved outcomes.

Main Methods:

• Employing excess abdominal skin stretched upward.
• Utilizing skin from the healthy breast for reduction or ptosis correction.
• Transposing a deepithelialized abdominomammary flap with specific pedicles for contouring and prosthesis coverage.

Main Results:

• The abdominomammary flap facilitates subclavicular and axillary contouring.
• It provides partial or total prosthesis covering.
• Upward stretching of thoracoabdominal skin ensures cutaneous coverage.

Conclusions:

• This technique offers a versatile approach to breast reconstruction.
• It effectively addresses contouring and prosthesis coverage using available tissues.