Breast reconstruction with autologous tissue or implant after mastectomy is becoming popular in Japan.
We also perform breast reconstruction mainly using perforator flaps, because perforator flaps reduce the donor site morbidity. The aim of this report is to explain our strategy for bilateral breast reconstruction with free perforator flaps.
We performed bilateral breast reconstruction mainly using free perforator flaps in 9 cases after bilateral total mastectomy in the past five years. There were ten flaps with DIEP flap, one flap with SIEA flap, four flaps with IGAP flap and two flaps with PMT flap. The complications included one case of partial flap necrosis and two cases of wound dehiscence at the donor site. There was no abdominal bulging, and good results were obtained in almost all patients.
We choose the optimal flap, including DIEP flap, SIEA flap, SGAP flap, IGAP flap and PMT flap, for breast reconstruction according to the background of each patient. The timing of breast reconstruction at each side sometimes causes trouble when choosing the flap. Therefore, familiarity with various flaps for breast reconstruction with autologous tissue is necessary to perform reconstruction in various conditions.
