Total breast reconstruction with a fat-augmented latissimus dorsi flap: A comparative study between muscle and myocutaneous flaps

The fat-augmented latissimus dorsi myocutaneous flap can overcome the volume insufficiency of latissimus dorsi flaps by immediate fat grafting into the flap. When breast skin supplementation is unnecessary, latissimus dorsi flaps can be harvested as a muscle flap to avoid an additional back incision...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2023-08, Vol.83, p.250-257
Main Authors: Tomita, Koichi, Taminato, Mifue, Kubo, Tateki
Format: Article
Language:English
Subjects:
Autologous reconstruction
Breast Neoplasms - surgery
Fat graft
Fat transfer
Female
Humans
Lipofilling
Lipoinjection
Mammaplasty - methods
Mastectomy
Myocutaneous Flap
Retrospective Studies
Scarless
Superficial Back Muscles - transplantation
Treatment Outcome
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Summary:The fat-augmented latissimus dorsi myocutaneous flap can overcome the volume insufficiency of latissimus dorsi flaps by immediate fat grafting into the flap. When breast skin supplementation is unnecessary, latissimus dorsi flaps can be harvested as a muscle flap to avoid an additional back incision. Here, we compared the efficacy of fat-augmented latissimus dorsi myocutaneous and muscle flaps in total breast reconstruction. We retrospectively reviewed 94 cases of unilateral total breast reconstruction using fat-augmented latissimus dorsi flaps (muscle: 40, myocutaneous: 54) at our hospital from September 2017 to March 2022. The muscle flap group had a significantly shorter operative time than the myocutaneous flap group (p 
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2023.04.081