title: The Bikini Inset: a reliable method for postradiation breast reconstruction with transverse rectus abdominis myocutaneous and free abdominal tissue transfer.
abstract: The combination of radiation and mastectomy reduces the 3-dimensional topography of the breast into a relatively inelastic, 2-dimensional plane. This environment presents specific challenges to aesthetic breast reconstruction with autologous tissue transfer, and a relative sparsity of information exists in the surgical literature on how to address these challenges. Accordingly, this article details a formalized and reproducible approach for flap inset in postradiation breast reconstruction. We outline a novel technique for optimizing the recipient bed and present a sequential flow for contouring the autologous abdominal flap, so that it recreates the individual subunits of an aesthetic breast.
authors.affiliation: Division of Plastic Surgery, Department of Surgery, University of South Florida, Tampa, FL, USA. jcone@health.usf.edu
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Cone
authors.forename: M Lance
authors.initials: ML
authors.lastname: Tavana
authors.forename: Jessica A
authors.initials: JA
authors.lastname: Ching
authors.forename: Paul D
authors.initials: PD
authors.lastname: Smith
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D058752:Free Tissue Flaps; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy; D008875:Middle Aged; D017568:Rectus Abdominis / Q000637:transplantation*