Breast Reconstruction
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Breast Reconstruction Dr. Arash Beiraghi Toosi Plastic Surgery Department Ghaem Hospital
description
Breast Reconstruction. Dr. Arash Beiraghi Toosi Plastic Surgery Department Ghaem Hospital. Breast Reconstruction. Implant Autologus. Breast Reconstruction. Implant Relative Contraindications: - Unstable skin circulation - Radiotherapy - Smoking. Breast Reconstruction. TRAM: - PowerPoint PPT Presentation
Transcript of Breast Reconstruction
Breast Reconstruction
Dr. Arash Beiraghi Toosi
Plastic Surgery DepartmentGhaem Hospital
Breast Reconstruction
Implant
Autologus
Breast Reconstruction
Implant Relative Contraindications:
- Unstable skin circulation- Radiotherapy- Smoking
Breast Reconstruction
TRAM:Contraindications:-Previous abdominoplasty- Insufficient skin or fat- Smoking- DM- Obese
Breast Reconstruction
TRAM:UnipedicledBipedicledFree flapPerforator flap (DIEAP)
Breast Reconstruction
Latissimus:Indications:-Not candidate for TRAM-Rx in breast conservation- Lumpectomy- Unreliable flaps on implant- Previous pexy or reduction- Augmented breasts- Large ptotic breasts
Breast Reconstruction
Latissimus:Contraindications:-Previous thoracotomy- Division of thoracodorsal n.- Planned radiation
Breast Reconstruction
Perforator Flaps:DIEAP (Deep inferior epigastric artery perforator)
Breast Reconstruction
Perforator Flaps:Superior Gluteal Artery Perforator Flap
Breast Reconstruction
Alternative Free Flaps:Lateral Transverse Thigh
Breast Reconstruction
Alternative Free Flaps:Rubens
Breast Reconstruction
Alternative Free Flaps:Gluteal Flap
