Breast Reconstruction Dr. Arash Beiraghi Toosi Plastic Surgery Department Ghaem Hospital.

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Presentation transcript:

Breast Reconstruction Dr. Arash Beiraghi Toosi Plastic Surgery Department Ghaem Hospital

Breast Reconstruction ImplantAutologus

Implant Relative Contraindications: Relative Contraindications: - Unstable skin circulation - Radiotherapy - Smoking

Breast Reconstruction TRAM:Contraindications: -Previous abdominoplasty - Insufficient skin or fat - Smoking - DM - Obese

Breast Reconstruction TRAM:UnipedicledBipedicled Free flap Perforator flap (DIEAP)

Breast Reconstruction Latissimus:Indications: -Not candidate for TRAM -Rx in breast conservation - Lumpectomy - Unreliable flaps on implant - Previous pexy or reduction - Augmented breasts - Large ptotic breasts

Breast Reconstruction Latissimus:Contraindications: -Previous thoracotomy - Division of thoracodorsal n. - Planned radiation

Breast Reconstruction Perforator Flaps: DIEAP (Deep inferior epigastric artery perforator) epigastric artery perforator)

Breast Reconstruction Perforator Flaps: Superior Gluteal Artery Perforator Flap Perforator Flap

Breast Reconstruction Alternative Free Flaps: Lateral Transverse Thigh

Breast Reconstruction Alternative Free Flaps: Rubens

Breast Reconstruction Alternative Free Flaps: Gluteal Flap