European Journal of Plastic Surgery

, Volume 42, Issue 6, pp 633–635 | Cite as

Reversed abdominoplasty as a reconstructive option on a patient with a basal cell carcinoma of the intermammary region

  • Tiago GuedesEmail author
  • Horácio Zenha
  • João Guimarães
  • Horácio Costa
Case Report


The reversed abdominoplasty is an aesthetic procedure not very commonly used nowadays. It is used more often on patients with skin excess and lipodystrophy of the upper abdominal wall. Regardless of its low rate of complications, it implies perceptible inframammary scars that stretch along the midline. Basal cell carcinoma is the most common skin cancer. It is located mostly in areas of high sunlight exposure such as the face or ears. However, it can appear in uncommon locations like the intermammary area. The authors report the case of a 65-year-old female with a 3-cm nodular basal cell carcinoma of the inferior intermammary region. As the patient had supraumbilical lipodystrophy, we used a variation of reversed abdominoplasty to reconstruct the defect after tumour resection. One year after surgery, there were no complications or cancer recurrence. The scars were aesthetically good and body contour was improved. This clinical case shows the intimate relation between aesthetical and reconstructive surgery. The application of aesthetic surgery techniques in the field of skin oncology (‘oncoplastic’ techniques) can give significant improvement in the final result with minimal morbidity and without compromising treatment safety.

Level of evidence: Level V, therapeutic study.


Reversed abdominoplasty Basal cell carcinoma Supraumbilical lipodystrophy 


Compliance with ethical standards

Conflict of interest

Tiago Guedes, Horácio Zenha, João Guimarães and Horácio Costa declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from the participant included in the study.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this kind of retrospective study formal consent is not required.


  1. 1.
    Rebello C, Franco T (1977) Abdominoplasty through a submammary incision. Int Surg 62(9):462–463PubMedGoogle Scholar
  2. 2.
    Cardoso de Castro C, Costa Aboudib JH, Salema R et al (1993) How to deal with abdominoplasty in an abdomen with a scar. Aesthet Plast Surg 17:67–71CrossRefGoogle Scholar
  3. 3.
    Schmidt M, Aszmann OC, Beck H, Frey M (2010 Feb) The anatomic basis of the internal mammary artery perforator flap: a cadaver study. J Plast Reconstr Aesthet Surg 63(2):191–196CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Plastic, Reconstructive and Craniomaxilofacial Surgery and Microsurgery UnitGaia/Espinho Hospital CenterVila Nova de GaiaPortugal
  2. 2.Campus Universitário de SantiagoAveiro UniversityAveiroPortugal

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