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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
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