What are my breast reconstruction options after a mastectomy?

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Expert Answers

drchrysopoulo (Physician - Surgery - Plastic (Verified) ) - 07 / 12 / 2011

The SIEA flap is another abdominal tissue procedure that is an option for some patients:


Dr C

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member8037 (Friend) - 03 / 03 / 2011

1 vote(s) by murray
1. Tissue expanders and subsequent replacement with permanent implants. Ask about silicone vs. saline implants. How about the use of a skin and tissue replacement like fat or a dermal matrix (like Alloderm).

2. Autologeous reconstruction with latissimus flap (back). Will implants be needed as well?

3. TRAM flap (transverse rectus abdominus muscle). Uses the muscle, skin, and fat of the abdomen to rebuild the breast. Make sure you have been told of the risks involved in removing this muscle.

4. DIEP (deep inferior epigastric perforator). Uses the skin and fat of the abdomen to rebuild the breast but leaves the muscle of the abdomen intact.
5. GAP (gluteal artery perforator). Uses the skin and fat from the upper (inferior) or lower (superior) buttocks. Like the DIEP, no muscle is removed for this procedure.
6. TUG (transverse upper gracilis). Inner thigh donor area, utilizes skin, fat, and muscle of the upper inner thigh.

7. Intercostal perforator. Utilizes skin and fat from under the arm.
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