title: "Body-lift"-like pattern for the simultaneous bilateral superior gluteal artery perforator flap in breast reconstruction.
abstract: Prophylactic mastectomies have increased during the last 10 years. Breast reconstructions with free flaps are performed because they provide natural and long-lasting results. In bilateral mastectomy, a simultaneous bilateral superior gluteal artery perforator (SGAP) flap can provide good reconstruction with autologous tissue and low donor-site morbidity. This report describes the case of a "body-lift"-like pattern for a simultaneous bilateral SGAP flap procedure. This innovative pattern provides good aesthetic results for the abdomen and buttocks and preserves the option of using a deep inferior epigastric artery and vein perforator (DIEP) flap in case one SGAP flap fails. After 3 months, the patient was very satisfied with the results. The SGAP flap remains undeniably an alternative to the DIEP flap when the abdominal excess is insufficient for a bilateral reconstruction.
  
  
  METHODS
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authors.affiliation: Service de chirurgie plastique et reconstructrice, Plastic and Reconstructive Surgery Unit, CHU Toulouse Rangueil, 1 Avenue, Jean Poulhès, 31059, Toulouse, France. benoitchaput@aol.com
authors.forename: B
authors.initials: B
authors.lastname: Chaput
authors.forename: G
authors.initials: G
authors.lastname: Fade
authors.forename: R
authors.initials: R
authors.lastname: Sinna
authors.forename: D
authors.initials: D
authors.lastname: Gangloff
authors.forename: J P
authors.initials: JP
authors.lastname: Chavoin
authors.forename: I
authors.initials: I
authors.lastname: Garrido
mesh_terms: D002081:Buttocks / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D061525:Perforator Flap