Correction of Postquadrantectomy Deformity with a DIEP Flap
A 63-year-old woman presented with a breast deformity 10 years after a right partial mastectomy and brachytherapy and 5 years after open biopsy in the right breast due to suspected recurrence, which had not been confirmed. According to Slavin’s classification (Slavin 2011), it was a type II deformity with a severe skin and parenchymal disturbance and some nipple-areolar distortion. There was a high asymmetry of the breasts with a 10 cm difference in the distance from the nipple-areolar complex (NAC) to the jugular groove (Fig. 62.1). Furthermore, the patient suffered from chronic pain in the right breast due to scar contracture. She was offered a reduction mammoplasty of the left breast which she denied, because she wanted to keep the size of the healthy breast.
KeywordsFree Flap Autologous Tissue Perforator Flap Reduction Mammoplasty Partial Mastectomy
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