title: Augmentation mammaplasty by reverse abdominoplasty (AMBRA).
abstract: BACKGROUND
  The purpose of this article is to describe a novel technique of providing autologous tissues for breast augmentation and simultaneously rejuvenating the abdomen.
  
  
  METHODS
  Thirty-seven patients underwent augmentation mammaplasty by reverse abdominoplasty (AMBRA) between 1997 and 2006. The upper abdominal pannus present in women whose lower abdomen was typically less aesthetically compromised was harvested as deepithelialized adipofascial flaps, maintaining their connection to and thus blood supply from the attached breast parenchyma. These flaps are transposed subglandularly, creating autologous tissue breast implants, and reverse abdominoplasty accomplishes donor-site closure and aesthetic improvement. If previous surgery or inadequate inframammary fold tissue thickness renders the superior circulation unfavorable, the upper abdominal tissues can be used as advancement flaps vascularly supplied by their attachment to the abdominal skin apron.
  
  
  RESULTS
  Twenty-three patients (62 percent) had simultaneous mastopexy and 16 (43 percent) had simultaneous panniculectomy. Complications in the superior pedicle group were minimal. In the inferior pedicle group, complications were more extensive because of the premorbidity of this group of patients and the limitations of this technique, where the resuspension of the abdominal wall apron is less facile and generally weaker than closure with superiorly based flaps.
  
  
  CONCLUSIONS
  Augmentation mammaplasty by reverse abdominoplasty is a versatile procedure that in the carefully selected patient can successfully address two aesthetic concerns simultaneously, providing durable autologous tissue that can obviate or enhance the outcome provided by prosthetic implants and rejuvenating the abdomen. It also shows promise as a significant adjunct to the techniques available to the breast reconstructive surgeon.
authors.affiliation: Providence, R.I. From the Department of Plastic Surgery, Brown University School of Medicine, Rhode Island Hospital.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Zienowicz
authors.forename: Ercan
authors.initials: E
authors.lastname: Karacaoglu
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D000328:Adult; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008866:Microsurgery; D008875:Middle Aged; D017060:Patient Satisfaction; D018579:Patient Selection; D019651:Plastic Surgery Procedures / Q000379:methods*; D050507:Subcutaneous Fat, Abdominal / Q000601:surgery*; D016896:Treatment Outcome