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

2. Breast Reconstruction ImplantAutologus

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

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

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

6. 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

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

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

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

10. Breast Reconstruction Alternative Free Flaps: Lateral Transverse Thigh

11. Breast Reconstruction Alternative Free Flaps: Rubens

12. Breast Reconstruction Alternative Free Flaps: Gluteal Flap