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Use of Deepithelialized Flap in Mammoplasties: Simple Method With Excellent Results
Aesthetic Plastic Surgery, 06/21/2011
Mestak J et al. – The use of deepithelialized flaps in patients with very thin skin or pectoral muscles is a safe and easy way to improve implant coverage and prevent implant extrusion. This technique provides an alternative surgical option that can be beneficial in certain mammary cases.
Methods- All the patients underwent surgery in authors’ department.
- The operations described are subcutaneous mastectomies with immediate reconstruction using silicone implants, mastopexy with immediate augmentation using silicone implants in a patient with very thin skin, and reaugmentation with mastopexy and reimplantation of silicone implants in a patient with very thin skin and extremely thin pectoral muscles.
- In all the described operations, they used a superolaterally based deepithelialized flap from the lower part of the breast that they fixed to the thoracic wall to cover the inferior part of the implant.
- The authors have extensive experience using this flap in such specific cases.
- To date, they have performed more than 30 operations using this technique.
- Each patient was followed for 2–7 years, and the findings show excellent postoperative results.
- None of the patients had implant extrusions, flap extrusions, or infections.
- The long-term cosmetic results were outstanding.