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