title: Expanded reverse abdominoplasty for reconstruction of burns in the epigastric region and the inframammary fold in female patients.
abstract: We report the use of expanded reverse abdominoplasty in three female patients with postburn scars involving the entire epigastric region in which the inframammary folds were effaced, resulting in distortion of breast contour. In two of the patients, tissue expanders were used, and subsequently, reverse abdominoplasty was performed, thus re-creating the inframammary fold. The third patient reported to be pregnant after expanders were placed; therefore, smaller volumes of inflation for tissue expansion were necessary. We believe that this procedure is an optimal solution, both aesthetically and functionally, in respect to other reconstructive techniques in female patients with normal skin inferior to epigastric burns. The surgical technique and results are discussed.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Tel-Hashomer, affiliated to Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
authors.forename: Josef
authors.initials: J
authors.lastname: Haik
authors.forename: Gil
authors.initials: G
authors.lastname: Grabov-Nardini
authors.forename: Oren
authors.initials: O
authors.lastname: Goldan
authors.forename: Ariel
authors.initials: A
authors.lastname: Tessone
authors.forename: Eli
authors.initials: E
authors.lastname: Regev
authors.forename: David
authors.initials: D
authors.lastname: Mendes
authors.forename: Arie
authors.initials: A
authors.lastname: Orenstein
authors.forename: Eyal
authors.initials: E
authors.lastname: Winkler
mesh_terms: D000007:Abdominal Injuries / Q000601:surgery; D000293:Adolescent; D000328:Adult; D001940:Breast / Q000293:injuries / Q000601:surgery*; D002056:Burns / Q000150:complications / Q000601:surgery*; D002921:Cicatrix / Q000209:etiology / Q000601:surgery; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D013898:Thoracic Injuries / Q000601:surgery; D015626:Tissue Expansion