Aesthetic refinements in breast augmentation with deep inferior epigastric perforator flap: a case report.
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.
Munhoz
Alexandre Mendonça
AM
munhozalex@uol.com.br
Ishida
Luis Henrique
LH
Duarte
Gustavo Gibin
GG
Cunha
Marcelo Sacramento
MS
Montag
Eduardo
E
Sturtz
Gustavo
G
Gemperli
Rolf
R
Ferreira
Marcus Castro
MC
D000328:Adult; D018427:Breast Implants; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D020034:Silicone Gels; D013524:Surgical Flaps
D020034:Silicone Gels