Perforator flaps: Recent experience, current trends, and future directions based on 3974 microsurgical breast reconstructions

Marga F. Massey, Aldona J. Spiegel, Joshua L. Levine, James E. Craigie, Richard M. Kline, Kamran Khoobehi, Heather Erhard, David T. Greenspun, Robert J. Allen

Research output: Contribution to journalArticle

54 Scopus citations

Abstract

Perforator flap breast reconstruction is an accepted surgical option for breast cancer patients electing to restore their body image after mastectomy. Since the introduction of the deep inferior epigastric perforator flap, microsurgical techniques have evolved to support a 99 percent success rate for a variety of flaps with donor sites that include the abdomen, buttock, thigh, and trunk. Recent experience highlights the perforator flap as a proven solution for patients who have experienced failed breast implant-based reconstructions or those requiring irradiation. Current trends suggest an application of these techniques in patients previously felt to be unacceptable surgical candidates with a focus on safety, aesthetics, and increased sensitization. Future challenges include the propagation of these reconstructive techniques into the hands of future plastic surgeons with a focus on the development of septocutaneous flaps and vascularized lymph node transfers for the treatment of lymphedema.

Original languageEnglish (US)
Pages (from-to)737-751
Number of pages15
JournalPlastic and Reconstructive Surgery
Volume124
Issue number3
DOIs
StatePublished - Sep 2009

ASJC Scopus subject areas

  • Surgery

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