May 30, · For autologous breast reconstruction, there are cases where one free flap cannot provide the volume of tissue required, and the concept of ‘stacked’ bilateral deep inferior epigastric artery (DIEP) flaps was developed, in which hemi-abdominal flaps are raised on each deep inferior epigastric artery (DIEA), and both flaps transferred to the chest. When the skin of the upper abdomen is stretched to close the resulting abdominal wound the belly button is repositioned to an anatomic location. The free TRAM flap is a significant improvement over the traditional procedure. in this procedure, the skin and fat of the lower abdomen used to form the breast are left attached to one rectus muscle.
This procedure involves using the entire rectuas abdominus muscle to carry to the lower abdominal skin and fat up to the chest wall. A breast shape is then created using this tissue. In order to transfer the flap to the chest, the muscle is tunneled under the upper abdominal skin. Oct 04, · The DIEP flap breast reconstruction is today's most advanced form of breast reconstruction. The procedure uses the patient's lower abdominal skin and fat to reconstruct a breast after mastectomy but unlike the TRAM flap procedure, preserves all the abdominal muscles. Benefits of the DIEP flap procedure over implant reconstruction include.
Jul 21, · DIEP flap breast reconstruction uses the patient’s lower abdominal skin and fat (no muscle) to reconstruct a natural, warm, soft breast after a mastectomy. The lower abdominal tissue is removed as a football shaped incision between the belly button and the upper pubic hairline. The butt lift and fat grafting procedure produces two cosmetic improvements in one procedure; it can be used to produce a shapelier backside in patients, and it also allows our surgeons to remove excess fat from the hips, upper back, flanks, or abdomen. Male Breast Reduction Surgery.
and the long pedicle. Therefore, a pedicled anterolateral thigh flap with reliable blood circulation can easily be positioned above the umbilicus. In addition, the free anterolateral thigh flap has greater freedom of orientation and can be used to repair larger abdominal wall defects than can the tensor fasciae latae flap. Seven patients in whom abdominal wall defects had been reconstructed. Abdominal tissue remains connected to the rectus abdominus muscle and is tunneled under the skin of your upper abdomen into the breast. Removing the rectus muscle may lead to abdominal weakness or bulge formation. This technique is successful in 98 to 99% of cases. Rarely, a portion of the flap may be lost due to inadequate circulation.
Transverse Upper Gracilis Flap Breast Reconstruction St. Louis. During a TUG flap procedure, a woman’s inner thigh tissue is used to reconstruct the breast. No implants are used as part of the reconstruction. Generally, skin, fat and muscle from the inner upper thigh is used. One or both thighs may be used for a unilateral or bilateral. The TRAM flap (transverse rectus abdominis muscle) procedure involves the transferring of skin, fat and muscle tissue (“the flap”) from the abdominal area to the mastectomy site. The Flap remains attached to the original blood supply and tunneled beneath the upper abdominal skin to the chest and formed into a new breast mound.