Immediate reconstruction using a modified inframammary adipofascial flap after partial mastectomy

Abstract

Breast conservative therapy (BCT) as treatment for early breast cancer usually ensures local control and acceptable cosmetic results. We describe a new technique of using an inframammary adipofascial flap to reconstruct defects caused by lower-pole partial mastectomy, which achieved excellent results (Kijima et al. in Am J Surg 193:789–91 (1); Sakai et al. in Ann Plast Surg 29(2):173–7, 2; Ogawa Am J Surg 193:514–8, 3). We developed this procedure as an oncoplastic technique for a Japanese woman with a similar defect without ptosis. After partial mastectomy, the superior half of the flap is harvested via an initial incision along the inframammary line, and the inferior half is harvested via an additional incision along the caudal edge of the flap, to produce a crescent of de-epithelialized skin. A tongue-shaped flap containing the crescent of de-epithelialized skin, subcutaneous fat, and the fascia of the vertical rectus abdominis muscle is then rotated upwards, gathered, and inserted into the breast defect.

An Innovative Breast-Conserving Oncoplastic Technique for Treating Small to Medium Volume Breasts With a Tumor in the Lower Quadrant: The Folding Flap Technique

“…Another commonly used adjacent tissue flap is the inframammary adipofascial flap, which assists in the repair of defects in the lower quadrant of the breast using a tongue-shaped flap in the upper abdomen (13). This technique is consistent with our concept of incisional design.…”

Modification of oncoplastic breast surgery with immediate volume replacement using a thoracodorsal adipofascial flap

“…Especially in the case of volume replacement, we select adequate extra breast tissue to repair the breast defect immediately at the time of operation. From these experiences, we are aware that immediate volume replacement using extra breast tissue quadrant by quadrant is a useful technique for patients with small, non-ptotic breasts [15][16][17].…”

Clinical feasibility of a new oncoplastic technique for breast lumps of the external quadrants: half moon lateral crescent technique

“…To avoid these unwanted effects, oncoplastic (surgery) techniques have been suggested and described by several authors for different quadrants of the breast [9][10][11] and some of them are proposed for all breast quadrants [12]. In general, oncoplastic lumpectomy is considered a safe alternative to standard lumpectomy for selected breast cancer patients [13,14] that can be offered usually as an immediate reconstruction procedure [15]. However, there are few reports of long-term follow-up of cosmetic results.…”