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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: Contraindications: -Previous abdominoplasty - Insufficient skin or fat - Smoking - DM - Obese Breast Reconstruction TRAM: Unipedicled Bipedicled Free flap Perforator 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