Postmastectomy reconstruction by a contralateral abdominomammary flap.
A new technique for breast reconstruction following mastectomy is suggested. It is based on three principles: (1) use of excess abdominal skin that is stretched upward; (2) use of skin from the healthy breast, when breast reduction or corrective ptosis is necessary; and (3) transposition of skin and excess subcutaneous tissue from the abdomen and the healthy breast, as a contralateral flap (abdominomammary flap), but with a homolateral and a heterolateral pedicle. The abdominomammary flap, adequately deepithelialized, provides material for subclavicular and axillary contouring, as well as a first, partial, or total covering of the prosthesis, while the cutaneous covering is obtained by stretching upward the thoracoabdominal skin of the affected side.
D000009:Abdominal Muscles / Q000601:surgery; D000328:Adult; D001940:Breast / Q000601:surgery*; D005260:Female; D006801:Humans; D008408:Mastectomy; D013524:Surgical Flaps