title: Use of deepithelialized flap in mammoplasties: simple method with excellent results.
abstract: BACKGROUND
  A deepithelialized flap is used in almost all surgical fields, particularly in plastic, reconstructive, and aesthetic surgery. This article describes several operating techniques using deepithelialized flaps that in specific cases can improve silicone breast implant coverage.
  
  
  METHODS
  All the patients underwent surgery in our department. The operations described are subcutaneous mastectomies with immediate reconstruction using silicone implants, mastopexy with immediate augmentation using silicone implants in a patient with very thin skin, and reaugmentation with mastopexy and reimplantation of silicone implants in a patient with very thin skin and extremely thin pectoral muscles. In all the described operations, we used a superolaterally based deepithelialized flap from the lower part of the breast that we fixed to the thoracic wall to cover the inferior part of the implant.
  
  
  RESULTS
  The authors have extensive experience using this flap in such specific cases. To date, they have performed more than 30 operations using this technique. Each patient was followed for 2-7 years, and the findings show excellent postoperative results. None of the patients had implant extrusions, flap extrusions, or infections. The long-term cosmetic results were outstanding.
  
  
  CONCLUSIONS
  The use of deepithelialized flaps in patients with very thin skin or pectoral muscles is a safe and easy way to improve implant coverage and prevent implant extrusion. This technique provides an alternative surgical option that can be beneficial in certain mammary cases.
authors: Department of Plastic Surgery, 1st Medical Faculty of Charles University in Prague, University Hospital Bulovka, Prague 8, 180 00, Czech Republic. mestak@gmail.com
authors: Jan
authors: J
authors: Mestak
authors: Andrej
authors: A
authors: Sukop
authors: Ondrej
authors: O
authors: Mestak