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In non-nipple sparing mastectomy reconstruction, there is complete absence of the NAC and often a monitoring skin paddle where the original NAC resided. Previous lumpectomy scars, previous augmentation scars, and so on should be considered and often can be utilized within the lifting and reduction pattern. The limited scar mastopexy: We close the umbilical defect to create some projection at the lower fold. This is outlined in figures A, B and C below. In the DIEP flap breast reconstruction, abdominal fat acts to replace breast parenchyma changing the traditional considerations in reduction and mastopexy.
Upper abdominal flap for breast reduction


Women wanting to use their abdominal tissue have 3 reconstructive options: a TRAM flap, DIEP flap, or SIEA flap. The TRAM flap is a very common breast reconstruction technique that requires the sacrifice of at least a portion of the rectus abdominus (sit-up) muscle. Breast reconstruction using your own tissue without the use of implants is called autologous (referring to your own tissue) flap surgery. An autologous flap procedure uses a combination of skin, fat, and/or muscle that is moved from areas such as your abdomen, upper back, upper hip, or buttocks to the chest where it is shaped into a new breast. In the DIEP flap breast reconstruction, abdominal fat acts to replace breast parenchyma changing the traditional considerations in reduction and mastopexy. Abdominal fat lacks the traditional parenchymal structure and shape of a breast. Therefore, the abdominal flap must be shaped to achieve and maintain the structure and shape of the breast.

Upper abdominal flap for breast reduction
Upper abdominal flap for breast reduction

No implants are used as part of the reconstruction. Generally, skin, fat and muscle from the inner upper thigh is used. One or both thighs may be used for a unilateral or bilateral mastectomy. Patients with previous radiation are also excellent candidates for this procedure. Women who do not desire abdominal flap reconstruction or are unable to have reconstruction with their own abdominal tissue as a result of prior abdominal surgery or inadequate volume of tissue are also upper abdominal flap for breast reduction.

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Upper abdominal flap for breast reduction
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Upper abdominal flap for breast reduction

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Upper abdominal flap for breast reduction

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