title: Aesthetic refinements in breast augmentation with deep inferior epigastric perforator flap: a case report.
abstract: The principle of free flaps based on perforator vessels and the development of deep inferior epigastric perforator flap (DIEP) is currently used in reconstructive microsurgery. Clinical experience and research have shown that perforator flaps provide numerous advantages over the conventional myocutaneous flaps and combine muscle preservation and sequel minimization at the donor site. Clinical use of autogenous tissue or perforator flaps in aesthetic breast surgery or augmentation mammaplasty is not a common practice. The authors indicate the use of the DIEP flap to correct severe hypomastia after bilateral breast augmentation with silicon implants, followed by infection and implant extrusion. Using the DIEP flap is a new option for patients who have had complications from breast augmentation with implants or severe hypomastia and have excess tissue in the lower abdomen. Additional studies and clinical research are necessary to evaluate the real benefits as compared to silicone implants, such as operative time, the recovery period and financial implications.
authors: munhozalex@uol.com.br
authors: Alexandre Mendonça
authors: AM
authors: Munhoz
authors: Luis Henrique
authors: LH
authors: Ishida
authors: Gustavo Gibin
authors: GG
authors: Duarte
authors: Marcelo Sacramento
authors: MS
authors: Cunha
authors: Eduardo
authors: E
authors: Montag
authors: Gustavo
authors: G
authors: Sturtz
authors: Rolf
authors: R
authors: Gemperli
authors: Marcus Castro
authors: MC
authors: Ferreira
mesh_terms: D000328:Adult; D018427:Breast Implants; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D020034:Silicone Gels; D013524:Surgical Flaps
chemical_list: D020034:Silicone Gels