Volume Replacement Surgery with Less Burden on Donor Site

〜Abdominal Advancement Flap & Crescent Technique〜

Abstract

Breast-conserving surgery (BCS) of the inferior portion of the breast can easily cause a deformity. We use an abdominal advancement flap (AAF) and a crescent technique to fill the defect left after BCS of the inferior portion of the breast.

AAF : An AAF is a flap that pulls the elevated abdominal skin up, creating the shape of the inferior portion of the breast by making a neo-inframammary fold. Although the AAF can only fill defects of approximately 10% of the breast, it can also be used for filling a skin defect.

Crescent technique : The crescent technique is a method of de-epithelizing skin caudal to the inframammary fold in a crescent, folding both edges and filling the defect. The indication of this method is the case it is not necessary to remove the skin above the tumor. Although this method has the disadvantage that the surgical wound is longer, a ptotic breast is a good indication because the surgical wound is not visible.

Both procedures are simple techniques and less likely to cause complications. We believe that AAF and crescent techniques are useful for BCS of the inferior portion of the breast.