J Breast Cancer.  2012 Dec;15(4):468-473. 10.4048/jbc.2012.15.4.468.

Oncoplastic Technique Combining an Adipofascial Flap with an Extended Glandular Flap for the Breast-Conserving Reconstruction of Small Dense Breasts

• Ogawa T
• Hanamura N
• Yamashita
• Kimura H
• Ito M
• Nakamura T
• Kashikura
• Nohara Y
• Noro A

• KMID: 2286446
• DOI: http://doi.org/10.4048/jbc.2012.15.4.468

Abstract

We introduce a method combining two oncoplastic techniques for breast-conserving reconstruction. The procedure is as follows: first, an extended glandular flap is made by undermining the breast from both the skin and the pectoralis fascia to the upper edge of the breast at the subclavicular area. After modeling the breast mound with the extended glandular flap, an inframammary adipofascial flap is made. The flap is reflected back to the breast area remodeled using the extended glandular flap. After reshaping the breast, the inframammary line is then re-shaped. This method is indicated for patients with breast cancer in the outer portion of the breast, who have small dense breasts, and have undergone a large excision of about 40% of their breast volume. We treated four patients, all of whom had either excellent or good cosmetic results with no fat necrosis.

Keyword

Mammaplasty; Segmental mastectomy; Surgical procedures

MeSH Terms

Breast
Breast Neoplasms
Cosmetics
Fascia
Fat Necrosis
Female
Humans
Mammaplasty
Mastectomy, Segmental
Skin
Cosmetics

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