title: Abdominal advancement flap as oncoplastic breast conservation: report of seven cases and their cosmetic results.
abstract: An abdominal advancement flap (AAF) is a flap that pulls the elevated abdominal skin up and creates the shape of the inferior portion of the breast by making a neo-inframammary fold. Seven patients underwent remodeling using an AAF or a method combining an AAF with other volume displacement techniques after partial mastectomy. The excision volume ranged from 15% to 35%. AAF with only mobilization of the gland flaps was performed in two cases, with lateral mammoplasty in one case, with the round block technique (RBT) in one case, with a modified RBT in one case, and with medial mammoplasty in two cases. Although one patient treated with a RBT had a partial blood-flow insufficiency of the nipple-areola complex, it improved with conservative treatment. The cosmetic results were found to be excellent in three cases, good in three, and fair in one case.
authors.affiliation: Department of Breast Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
authors.forename: Tomoko
authors.initials: T
authors.lastname: Ogawa
authors.forename: Noriko
authors.initials: N
authors.lastname: Hanamura
authors.forename: Masako
authors.initials: M
authors.lastname: Yamashita
authors.forename: Minori
authors.initials: M
authors.lastname: Ito
authors.forename: Hiroko
authors.initials: H
authors.lastname: Kimura
authors.forename: Takashi
authors.initials: T
authors.lastname: Nakamura
authors.forename: Yumi
authors.initials: Y
authors.lastname: Kashikura
authors.forename: Yuki
authors.initials: Y
authors.lastname: Nohara
authors.forename: Aya
authors.initials: A
authors.lastname: Noro
keywords: Mammaplasty; Operative surgical procedures; Segmental mastectomy