The upper arm fasciocutaneous flap in breast reconstruction.
We present a woman who, after a modified mastectomy, underwent a breast reconstruction with a tissue expander that soon afterward developed a Baker grade 4 capsular contracture. The result was improved with a capsulotomy and a deepithelialized upper arm fasciocutaneous flap, to give fullness to the lateral aspect of the breast. We think that the upper arm fasciocutaneous flap can be a good adjunct in breast reconstruction when lack of tissue in the lateral aspect of the breast or axilla jeopardizes the aesthetic results.
DaMatta
A
A
Burns and Plastic Center, Madrid Red Cross, Madrid, Spain.
Arenas
C
C
D001132:Arm / Q000637:transplantation*; D004954:Esthetics; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods* / Q000592:standards; D015411:Mastectomy, Modified Radical; D008875:Middle Aged; D013524:Surgical Flaps / Q000379:methods* / Q000592:standards; D015626:Tissue Expansion