title: Sitting on a gold mine: optimal autologous reconstruction of a significant cosmetic contour defect of the buttock using a deep inferior epigastric artery perforator free flap.
abstract: The options for reconstruction of soft tissue defects of the buttock include custom prosthetic implants and autologous tissue transfer: fat transfer, local flaps, pedicled flaps and free flaps. Optimal reconstruction involves replacement of like-with-like tissue, sufficient padding and adequate contouring. We report a case of a female patient presenting with a significant cosmetic contour defect of her left buttock following previous excision of a malignant fibrous histiocytoma. The patient had autologous buttock reconstruction using a deep inferior epigastric artery perforator free flap with an excellent result. To our knowledge a deep inferior epigastric artery perforator free flap has not previously been described to reconstruct the buttock.
authors.affiliation: Department of Plastic Surgery, Royal Free Hampstead NHS Trust, Pond Street, London NW3 2QG, UK. alexisthomas@doctors.org.uk
authors.forename: A
authors.initials: A
authors.lastname: Thomas
authors.forename: O A
authors.initials: OA
authors.lastname: Branford
authors.forename: D
authors.initials: D
authors.lastname: Floyd
mesh_terms: D000009:Abdominal Muscles / Q000098:blood supply / Q000637:transplantation; D002081:Buttocks / Q000098:blood supply / Q000601:surgery*; D019074:Epigastric Arteries / Q000601:surgery*; D004954:Esthetics; D005260:Female; D058752:Free Tissue Flaps / Q000098:blood supply*; D051677:Histiocytoma, Malignant Fibrous / Q000473:pathology / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D012983:Soft Tissue Neoplasms / Q000473:pathology / Q000601:surgery; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology