J Reconstr Microsurg 2011; 27(7): 427-432
DOI: 10.1055/s-0031-1281527
© Thieme Medical Publishers

Breast Reconstruction Using the Lateral Femoral Circumflex Artery Perforator Flap

Gabriel M. Kind1 , 2 , Robert D. Foster2
  • 1Department of Plastic Surgery, California-Pacific Medical Center, San Francisco, California
  • 2Division of Plastic Surgery, Department of Surgery, University of California – San Francisco, San Francisco, California
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Publikationsverlauf

Publikationsdatum:
15. Juli 2011 (online)

ABSTRACT

The development of microsurgical breast reconstruction has resulted in not only the lower abdomen as a source of donor site tissue but also interest in alternative donor sites. These have included perforator-based flaps at the sites of previously described myocutaneous flaps (e.g., superior or inferior gluteal arteries) and the use of myocutaneous flaps not previously used for breast reconstruction (e.g., gracilis or transverse upper gracilis). We present our experience with a unique form of the tensor fascia lata flap and describe the first reported use of the lateral femoral circumflex artery (LFCA) perforator flap for breast reconstruction. A patient with minimal abdominal fat but lipodystrophy of the upper lateral thighs presented for breast reconstruction. Perforator flaps based on the lateral femoral circumflex vessels were designed. The LFCA perforator flap from one side was successfully used for breast reconstruction. The flap on the contralateral side did not have a suitable perforator. The LFCA perforator flap offers another option for women seeking autogenous breast reconstruction. Advances in preoperative imaging will likely make this a more reliable option.

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Gabriel M KindM.D. F.A.C.S. 

45 Castro Street

Suite 410, San Francisco, CA 94114

eMail: gkind@yahoo.com