Arch Aesthetic Plast Surg.  2015 Feb;21(1):26-29. 10.14730/aaps.2015.21.1.26.

The Lateral Thoracodorsal Flap in Delayed Bilateral Breast Reconstruction for an Obese Patient with Redundant Lateral Chest Wall Soft Tissue

• Shin JS
• Park ES
• Kim YB
• Nam SM

• KMID: 2045858
• DOI: http://doi.org/10.14730/aaps.2015.21.1.26

Abstract

Obesity (body mass index [BMI] > or = 30 kg/m2), one of the main risk factors for complications of breast reconstruction, makes surgeon hesitate to choose a single ideal surgical technique. Compared to transverse rectus abdominis myocutaneous flap and latissimus dorsi flap, standard methods for autologous breast reconstruction, local flaps have some advantages in terms of aesthetic results and surgical morbidity. A 55-year-old woman who had been undergone modified radical mastectomy, complaints of breast deformity and redundant both lateral chest wall soft tissue. We decided to perform the lateral thoracodorsal flap with implant considering obesity which can cause prolonged operating time and unpredictable results. No major complications were encountered and competent result was obtained when cosmetic analysis was conducted 6 months after surgery.

Keyword

Breast reconstruction; Flap; Obesity; Cosmetic

MeSH Terms

Breast
Congenital Abnormalities
Female
Humans
Mammaplasty*
Mastectomy, Modified Radical
Middle Aged
Myocutaneous Flap
Obesity
Rectus Abdominis
Risk Factors
Superficial Back Muscles
Thoracic Wall*