Breast reconstruction by superior gluteal microvascular free flaps without silicone implants

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Breast Reconstruction

Background:

• Current breast reconstruction methods include silicone implants, latissimus dorsi flaps, regional skin flaps, and rectus abdominis myodermal flaps.
• The gluteus maximus myodermal free flap is presented as an alternative surgical technique.

Observation:

• A review of 10 cases using the gluteus maximus myodermal free flap for breast reconstruction was conducted.
• The flap was compared against established reconstruction modalities.

Findings:

• The superior gluteal free flap provides reliable, permanent, and aesthetic breast reconstruction without the need for silicone implants.
• This method demonstrates excellent softness, projection, and natural appearance, leading to high patient satisfaction.
• It is particularly advantageous for patients avoiding implants, unsuitable for regional flaps, or with prior unsatisfactory reconstructions.

Implications:

• The gluteus maximus myodermal free flap is a viable and effective option for autologous breast reconstruction.
• Technical modifications in flap design and recipient vessel selection are crucial for successful outcomes.
• This technique expands reconstructive options for patients seeking natural-looking results and avoiding prosthetic materials.