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Autologous breast augmentation with the lateral intercostal artery perforator flap in massive weight loss patients

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Abstract
The body contour deformities that develop in morbidly obese patients following bariatric surgery often involve the breasts. Mastopexy is virtually always required in the female massive weight loss patient, and breast augmentation is often an important adjunct to breast-lifting procedures. The lateral intercostal artery perforator (LICAP) pedicled flap provides ample material for autogenous breast augmentation in such patients. Between June 2001 and June 2005, bilateral LICAP flaps were used as a method of autologous breast augmentation in six patients after massive weight loss. Of the 12 pedicled LICAP flaps raised, the average flap dimension was 23.6 x 10.6 cm. Mean flap harvesting time was 60 min (range 45-75 min) for a single flap. At( but two flaps were based on one perforator. All donor sites were closed primarily. Complete flap survival was achieved in all cases. A minor wound dehiscence occurred in two cases both of which healed secondarily. Patient satisfaction with both the appearance of their breasts and lateral axillary-thoracic region was high. The improved contour of the lateral axillary region was frequently noted as a significant benefit. In massive weight loss patients, harvesting the lateral skin-fat excess based on the LICAP provides supple tissue for breast augmentation, while simultaneously improving the contour of this area frequently affected by skin excess. Additionally, harvesting these flaps without sacrifice of the underlying muscle eases postoperative recovery and reduces donor site morbidity. (C) 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Keywords
LICAP, Massive weight loss, ICAP, Perforator flap, Mastopexy, Post baritric surgery

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Chicago
Hamdi, Moustapha, Koenraad Van Landuyt, Phillip Blondeel, John Hijjawi, Nathalie Roche, and Stan Monstrey. 2009. “Autologous Breast Augmentation with the Lateral Intercostal Artery Perforator Flap in Massive Weight Loss Patients.” Journal of Plastic Reconstructive and Aesthetic Surgery 62 (1): 65–70.
APA
Hamdi, M., Van Landuyt, K., Blondeel, P., Hijjawi, J., Roche, N., & Monstrey, S. (2009). Autologous breast augmentation with the lateral intercostal artery perforator flap in massive weight loss patients. JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 62(1), 65–70.
Vancouver
1.
Hamdi M, Van Landuyt K, Blondeel P, Hijjawi J, Roche N, Monstrey S. Autologous breast augmentation with the lateral intercostal artery perforator flap in massive weight loss patients. JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY. Oxford ; UNITED KINGDOM: ELSEVIER SCI LTD; 2009;62(1):65–70.
MLA
Hamdi, Moustapha, Koenraad Van Landuyt, Phillip Blondeel, et al. “Autologous Breast Augmentation with the Lateral Intercostal Artery Perforator Flap in Massive Weight Loss Patients.” JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY 62.1 (2009): 65–70. Print.
@article{547640,
  abstract     = {The body contour deformities that develop in morbidly obese patients following bariatric surgery often involve the breasts. Mastopexy is virtually always required in the female massive weight loss patient, and breast augmentation is often an important adjunct to breast-lifting procedures. The lateral intercostal artery perforator (LICAP) pedicled flap provides ample material for autogenous breast augmentation in such patients.

Between June 2001 and June 2005, bilateral LICAP flaps were used as a method of autologous breast augmentation in six patients after massive weight loss.

Of the 12 pedicled LICAP flaps raised, the average flap dimension was 23.6 x 10.6 cm. Mean flap harvesting time was 60 min (range 45-75 min) for a single flap. At( but two flaps were based on one perforator. All donor sites were closed primarily. Complete flap survival was achieved in all cases. A minor wound dehiscence occurred in two cases both of which healed secondarily. Patient satisfaction with both the appearance of their breasts and lateral axillary-thoracic region was high. The improved contour of the lateral axillary region was frequently noted as a significant benefit.

In massive weight loss patients, harvesting the lateral skin-fat excess based on the LICAP provides supple tissue for breast augmentation, while simultaneously improving the contour of this area frequently affected by skin excess. Additionally, harvesting these flaps without sacrifice of the underlying muscle eases postoperative recovery and reduces donor site morbidity. (C) 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.},
  author       = {Hamdi, Moustapha and Van Landuyt, Koenraad and Blondeel, Phillip and Hijjawi, John and Roche, Nathalie and Monstrey, Stan},
  issn         = {1748-6815},
  journal      = {JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY},
  keyword      = {LICAP,Massive weight loss,ICAP,Perforator flap,Mastopexy,Post baritric surgery},
  language     = {eng},
  number       = {1},
  pages        = {65--70},
  publisher    = {ELSEVIER SCI LTD},
  title        = {Autologous breast augmentation with the lateral intercostal artery perforator flap in massive weight loss patients},
  url          = {http://dx.doi.org/10.1016/j.bjps.2007.10.046},
  volume       = {62},
  year         = {2009},
}

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