• Natural implant alternative breast reconstruction options (knows as "flaps") represent today's 'gold standard' for reconstruction. (prma-enhance.com)
  • Breast reconstruction can also be done using a tissue flap taken from another part of the body. (epnet.com)
  • More complicated types of breast reconstruction involve using muscle and skin flaps from the abdomen, back, or other parts of your body. (epnet.com)
  • Deep Inferior Epigastric Perforator (DIEP) breast reconstruction is an advanced microsurgery procedure that rebuilds the shape of a breast compromised during a mastectomy. (drmichaelhoward.com)
  • This type of breast reconstruction (flap technique) entails using flaps of tissue (fat, skin, and sometimes muscle) borrowed from donor sites in the patient's body. (drrustonplasticsurgery.com)
  • 158. "Total breast reconstruction with the fat-augmented latissimus dorsi (FALD) flap: High safety in a single-center uncontrolled case series. (diepflap.it)
  • 151. "A multicentre study of the relationship between abdominal flap and mastectomy weights in immediate unilateral free flap breast reconstruction and the effect of adjuvant radiotherapy. (diepflap.it)
  • A free flap procedure is often performed during breast reconstruction or following surgery to remove head or neck cancer. (medicaljump.com)
  • Dr. Tran then continued her education and further honed her surgical skills in Plastic and Reconstructive Surgery at Tulane University, where she trained under one of the pioneers of DIEP (deep inferior epigastric perforator) flap breast reconstruction. (drtranplasticsurgery.com)
  • We perform a wide range of procedures, like conversion to prepectoral implants, flap revision, fat grafting, and surgery on the opposite breast, to improve your breast reconstruction. (nybra.com)
  • He was among the first to perform hybrid flaps, extended DIEP flaps, and stacked flaps for patients who prefer natural tissue breast reconstruction but may not have enough volume using a single tissue flap. (nybra.com)
  • DIEP (Deep Inferior Epigastric Perforator) Flap is a type of microsurgical breast reconstruction procedure that uses skin, fat, and blood vessels from the patient's lower abdomen to create a new breast. (aadilakhan.com)
  • The DIEP Flap procedure typically takes 6-hours for a single breast reconstruction or 8-hours for the reconstruction of both breasts. (aadilakhan.com)
  • The anterolateral thigh flap is a fasciocutaneous flap usually based on the musculocutaneous and septocutaneous perforators of the descending branch of the lateral circumflex femoral artery and its venae comitantes. (medscape.com)
  • [ 1 ] The anterolateral thigh flap, first described in 1984 by Song et al, is a fasciocutaneous flap usually based on the musculocutaneous and septocutaneous perforators of the descending branch of the lateral circumflex femoral artery and its venae comitantes. (medscape.com)
  • Sandwich Fascial Anterolateral Thigh Flap in Head and Neck Reconstruction: Evolution or Revolution? (uninsubria.it)
  • The areola can be reconstructed using skin from the inner thigh. (epnet.com)
  • The TUG flap technique makes an incision on the inner thigh that stretches from the groin to the buttock crease . (drmichaelhoward.com)
  • This technique utilizes skin and fat from the upper inner thigh. (drmichaelhoward.com)
  • This modified procedure may take the free flap from your inner thigh and reconnect the blood vessels through microsurgery (using a microscope). (gautengortho.co.za)
  • During a skin graft, a special skin-cutting instrument known as a Dermatome removes the skin from an area (the donor site) usually hidden by clothing such as the buttocks or inner thigh. (medicaljump.com)
  • Regardless of the type of "flap" procedure performed, a second "revision" surgery is typically performed about 3 months later to optimize results. (prma-enhance.com)
  • Whether the patient underwent implant or flap-based reconstruction, the revision surgery is typically performed about 3 months after the initial reconstructive procedure is designed to fine-tune the reconstructed breast(s) in order to improve the overall cosmetic appearance. (prma-enhance.com)
  • The transverse rectus abdominis muscle (TRAM) flap procedure takes tissue and muscle from the lower abdomen and creates a breast shape. (epnet.com)
  • The involved and delicate treatment redistributes fat, skin, and blood vessels taken from the wall of the lower abdomen or other areas of the body to your chest to rebuild a natural-looking breast(s). [1] ​​Unlike the transverse rectus abdominis (TRAM) flap procedure, DIEP reconstructions require less or no trauma to the muscles in the donor site . (drmichaelhoward.com)
  • While the traditional DIEP procedure uses a specific area of tissue and arteries from the abdomen, there are other approaches for women with different body types and different needs. (drmichaelhoward.com)
  • Reconstructive surgery is a procedure wherein injured areas or defects are corrected by using flaps of tissue, skin, bone or metalwork, along with underlying blood vessels or muscle to rebuild the damaged tissues. (gautengortho.co.za)
  • The lateral thigh flap is reliable, and it can be dissected easily while the head and neck ablative procedure is in progress. (medscape.com)
  • A surgical procedure to correct sagging of the outer and mid-thigh. (millardplasticsurgery.com)
  • Microsurgery is frequently used with other surgical procedures such as the free flap procedure. (medicaljump.com)
  • The procedure often involves the use of microsurgery. (medicaljump.com)
  • In Asia, the common use of 'Zori' type slippers makes second toe transplantation for thumb reconstruction the preferable procedure in spite of the less appealing aesthetic outcome. (microsurgeon.org)
  • The flap is relatively easy to harvest and can be dissected at the same time as the extirpative procedure. (medscape.com)
  • We pioneered a unique and reliable abdominal wall reconstruction procedure to repair TRAM flap related hernias and contour deformities. (nybra.com)
  • What is the DIEP Flap procedure? (aadilakhan.com)
  • The procedure is performed by a plastic surgeon who is highly trained in microsurgery and typically requires a hospital stay of 3-5 days. (aadilakhan.com)
  • The DIEP Flap procedure is typically applied to women who have undergone a mastectomy (removal of one or both breasts) due to breast cancer or other conditions. (aadilakhan.com)
  • It is important to note that not all women are candidates for DIEP Flap reconstruction , as certain medical conditions and lifestyle factors may impact their ability to undergo the procedure. (aadilakhan.com)
  • The DIEP flap technique connects blood vessels from the patient's donor tissue to the chest wall to create healthy, living breast tissue. (drmichaelhoward.com)
  • As with a DIEP flap, the removed abdominal tissue is then transferred to the mastectomy area where the blood vessels are connected with microsurgery. (drmichaelhoward.com)
  • A DIEP Flap - using tummy skin and fat with no muscle taken, is our preferred method to form a breast. (marionchan.com.au)
  • DIEP flap reconstruction takes approximately 4-6 hours (excluding mastectomy surgery time) and a 4-5 day stay in hospital. (marionchan.com.au)
  • From DIEP Flap and TUG Flap procedures to lesser-known SHAEP and Stacked Flaps, we offer a range of natural tissue reconstruction and breast sensation restoration options. (nybra.com)
  • Who is a candidate for DIEP flap ? (aadilakhan.com)
  • Clinical discussion: After resection of oral carcinomas, extensive tissue defects can be successfully treated with reconstructive microsurgery using different types of microvascular free flaps. (bvsalud.org)
  • Flaps can repair more complex defects due to the presence of their own blood vessels. (gautengortho.co.za)
  • The flap may be used for very large defects and requires no muscular sacrifice. (medscape.com)
  • A free fascial graft from the lateral thigh area is ideal for defects that require placement of bulk without lining. (medscape.com)
  • As such, this flap has the ability to cover a variety of large cutaneous or mucosal defects. (medscape.com)
  • In special circumstances, it can be combined with other flaps (such as the fibula or iliac crest), using the "mosaic" principle to provide coverage of extremely large and challenging head and neck defects. (medscape.com)
  • [ 2 ] Koshima et al and Kimata first described the use of this flap for reconstruction of head and neck defects. (medscape.com)
  • The lateral thigh flap is indicated for large head and neck defects. (medscape.com)
  • There were analyzed the following data: surgical times, flap and pedicle dimensions, site and etiology of defects. (rbcp.org.br)
  • Two issues have been largely to blame for limiting surgeons' consideration of the osteocutaneous radial forearm free flap (OCRFFF) as an option for single-stage reconstruction of composite defects in the head and neck: the inadequacy of available bone and the potential for radial bone fracture. (medscape.com)
  • In 1854, Hamilton described the cross-leg flap, introducing a new method to repair lower limb defects. (medscape.com)
  • Reconstruction with fillet flaps offers an adequate coverage for soft tissue defects. (bvsalud.org)
  • A free flap is completely cut away from its original location and reattached to blood vessels in the chest area using microsurgery. (epnet.com)
  • Dr. Howard carefully rejoins the blood vessels of the flap to the blood vessels in the chest using microsurgery. (drmichaelhoward.com)
  • This study aims to describe our clinical institutional experience based on the multimodal treatment performed in four cases diagnosed with oral squamous cell carcinoma with the use of different microvascular free flaps and RT. (bvsalud.org)
  • Microvascular free flaps have the advantage of providing healthy, vascularized, non-irradiated tissue for recipient sites that may have been compromised by surgery, radiation, chemotherapy, or a combination of the three. (medscape.com)
  • A pedicle flap remains attached to the original blood supply under the skin from the abdomen. (epnet.com)
  • The flap offers the advantages of being pliable with a large cutaneous territory, having a lengthy pedicle with good caliber vessels, possessing multiple components (adipofascial, muscle, fascia, and skin), being used as a sensate flap, and having the possibility of chimeric applications. (medscape.com)
  • The flap dimensions ranged from 7X5cm to 16X8.5cm and the pedicle strength ranged from 6 to 10cm. (rbcp.org.br)
  • Tubed fasciocutaneous flaps (e.g., from the anterolateral thigh or radial forearm) are most commonly used, because they permit good postoperative speech and result in low systemic morbidity. (thieme-connect.de)
  • The fasciocutaneous radial forearm free flap (FCRFFF) is the most common free flap used in head and neck reconstruction. (medscape.com)
  • Previous attempts to use an osteocutaneous radial forearm free flap (OCRFFF) for head and neck reconstruction have been associated with unacceptable donor site morbidity, most commonly fracture of the radius. (medscape.com)
  • in 1978, the radial forearm free flap (RFFF) has become a workhorse flap in head and neck reconstruction. (medscape.com)
  • In 1978, Chang described the radial fasciocutaneous forearm flap. (medscape.com)
  • Perforator flap reconstruction requires advanced microsurgery techniques. (drmichaelhoward.com)
  • With the SIEA perforator flap technique, Dr. Howard also makes an incision in the lower abdominal area where skin, fat, and blood vessels are excised. (drmichaelhoward.com)
  • The advent of microsurgery in the 1970s and the description by Ponten in 1981 of myocutaneous and fasciocutaneous flaps started a new era in lower limb and foot surgery. (medscape.com)
  • Tissue from one area of the body (lower abdomen, thighs, buttock and/or back) are transplanted to the chest wall using microsurgery to recreate a warm, soft, natural breast following a mastectomy. (prma-enhance.com)
  • Dr. Howard then removes two flaps of skin, one from each side of the lower abdomen to rebuild a breast. (drmichaelhoward.com)
  • Regardless of the technique used, transferring a piece of tissue from the abdomen with its own blood supply, requires microsurgery to reattach those into vessels inside your chest. (marionchan.com.au)
  • Microsurgical free flaps have been widely used in reconstruction after resection, with satisfactory success rates in conjunction with adjuvant radiotherapy (RT). (bvsalud.org)
  • In the period of 3 years after microsurgical reconstruction and RT, flaps remain clinically stable without failure signs in full patients submitted to multimodal treatment. (bvsalud.org)
  • Fifteen microsurgical lateral arm flaps were used in complex reconstructions between February 2003 and June 2007. (rbcp.org.br)
  • The flap may potentially be split into 2 paddles based on separate perforators, or it can be de-epithelialized to create 2 separate skin islands on the same perforator. (medscape.com)
  • However, if a fasciocutaneous flap is unavailable due to a lack of perforators or an obese thigh, the next choice is a jejunal flap. (thieme-connect.de)
  • Although the RFFF is most commonly harvested as a fasciocutaneous flap, perforators to the radius allow it to be developed as an osteocutaneous flap. (medscape.com)
  • A total of 30 perforators could be detected preoperatively, of which 29 were confirmed during flap dissection. (mek-signaling.com)
  • Your surgeon will use a tissue flap by keeping a specific blood vessel attached to it. (gautengortho.co.za)
  • The type of surgery depends on a variety of factors, including the location of the cancer, the cancer stage and any quality-of-life issues the patient may be concerned about. (cancercenter.com)
  • This type of oral cancer surgery is used to remove lymph nodes in the neck if cancer has spread or is suspected to have spread to this area. (cancercenter.com)
  • Microsurgery is a general term for surgery requiring an operating microscope. (wikipedia.org)
  • Publications on that topic: Micro-Vascular Surgery and Microsurgery Applied to Neurosurgery won him international recognition. (wikipedia.org)
  • Flap surgery is the transfer of a piece of tissue from one part to another part of your body, along with the blood vessels. (gautengortho.co.za)
  • After the reconstructive surgery, you are advised bed rest until the swelling at the site of reconstruction has reduced and the flap has adhered to the damaged site. (gautengortho.co.za)
  • Keep in mind though that flap reconstruction requires more extensive surgery and takes longer to heal. (drrustonplasticsurgery.com)
  • I routinely perform breast augmentaion, reduction, breast lift, abdominoplasty in addition to providing care and management of patients requiring breast reconstructive surgery using various reconstructive options including micro vascular free-flaps, local flaps and implant based procedures. (spirehealthcare.com)
  • Jejunal free flap surgery was performed in six patients with a total laryngopharyngectomy defect between March 2009 and January 2013. (thieme-connect.de)
  • Cosmetic surgery is a sub-type of plastic surgery. (indicure.com)
  • It is a surgical package of different types of plastic surgery procedures for mothers to get back in shape after childbirth and breastfeeding. (indicure.com)
  • The aims of this Atlas are to introduce the clinical applications of perforator flaps in plastic surgery and skin replacement. (nshealth.ca)
  • Written by a group of microsurgeons and hand surgeons working in the fields of orthopedic, trauma, hand, plastic and reconstructive surgery, this Atlas offers a valuable reference work for medical researchers and doctors in microsurgery, orthopedic surgery, and plastic and reconstructive surgery. (nshealth.ca)
  • At Phoenix Plastic Surgery, we understand the pain and discomfort these types of hernias can cause as well as the impact they can have on your quality of life. (phxsurgery.com)
  • An international expert in complex reconstruction, microsurgery, flaps and regenerative medicine, Dr. Charles E. Butler is Tenured Professor of Plastic Surgery and the Charles B. Barker Endowed Chair in Surgery at the University of Texas MD Anderson Cancer Center. (mdanderson.org)
  • In 2016, he was President of the Plastic Surgery Foundation (PSF) and President of the American Society for Reconstructive Microsurgery (ASRM). (mdanderson.org)
  • The 4th Flap Dissection Course in Living Tissue, „Pius Branzeu" Center for Laparoscopic Surgery and Microsurgery, „Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania (April 2004). (drsiclovan.com)
  • Complications involving skin flaps and requiring re-surgery were observed and treated in 38 cases. (surgicalneurologyint.com)
  • This type of surgery falls under the category of otolaryngology. (plasticsurgery-cosmetology.com)
  • The type of surgery you undergo will determine how much rest and rehabilitation is necessary for a complete recovery. (drbramkaufman.com)
  • Most reports describe that the optimal length of the harvested radial bone segment is 6-12 cm.[4] Significantly longer segments can be transplanted as part of the fibular osteocutaneous free flap. (medscape.com)
  • In 1976, Harii first transferred a free gracilis flap, and Robinson introduced the dorsalis pedis fasciocutaneous free flap. (medscape.com)
  • If, predominantly, bone is missing, accompanied by only a small soft tissue defect in which sensation and mobility are not likely an issue, the use of an iliac crest or fibular flap may be the best reconstructive option. (medscape.com)
  • For the most difficult situation, which is a significant defect of both components, one option is to use 2 free flaps, such as a sensate RFFF for the soft tissue and an iliac crest free flap for the bone. (medscape.com)
  • While the iliac crest immediately was used for the foot only, in 1983 Taylor first described the reconstruction of the first metatarsal bone by a free fibula flap. (medscape.com)
  • Like great toe transplantation, the second toe flap harvest is technically challenging, and requires meticulous dissection technique. (microsurgeon.org)
  • There are two types of skin graft: split-thickness grafts in which just a few layers of outer skin are transplanted and full-thickness grafts, which involve all of the dermis. (medicaljump.com)
  • Until recently, surgeons were limited to skin flaps and skin grafts to reconstruct damaged tissue. (plasticsurgery.org)
  • There were no donor or flap complications. (rbcp.org.br)
  • The ischemic time seems to be a very important factor affecting the likelihood of postoperative complications, especially for free flaps. (thieme-connect.de)
  • Rienzo AD, Pangrazi PP, Riccio M, Colasanti R, Ghetti I, Iacoangeli M. Skin flap complications after decompressive craniectomy and cranioplasty: Proposal of classification and treatment options. (surgicalneurologyint.com)
  • In our experience, complications involving skin flaps after DC and post-DC cranioplasty cannot be considered a minor event because of their potential to further compromise the yet fragile conditions of these patients. (surgicalneurologyint.com)
  • This paper describes the versatility of the lateral arm flap in complex reconstruction at Hospital of Clinics of Federal University of Bahia. (rbcp.org.br)
  • In elective situations, the graft may be avoided by pre-expanding the flap site for several months prior to flap elevation. (medscape.com)
  • For this reason, we will now analyze this type of graft in relation to a case in which it was used associated with a temporo-parietal fascia flap. (bvsalud.org)
  • For men facing mastectomy, we offer a variety of procedures including natural tissue flaps, fat grafting, and nipple reconstruction. (nybra.com)
  • Sixteen swine were used for free transfer of a latissimus dorsi myocutaneous flap to the chest that was anastomosed to the internal mammary vessels, and were randomized into controls and study group. (mek-signaling.com)
  • In 1982, the rectus abdominis muscle flap first was harvested as a free flap by Cunningham and Bunkis. (medscape.com)
  • Use of the flap allows primary closure of the defect with minimal aesthetic deformity or functional impact. (medscape.com)
  • Oncoplastic procedures like oncoplastic closure, reduction and lift, and local tissue flaps for volume loss preserve breast shape after a lumpectomy. (nybra.com)
  • These procedures can be classified into several types, including those performed for medical purposes such as treating breast cancer or non-cancerous breast lumps, and those performed for cosmetic purposes. (plasticsurgery-cosmetology.com)
  • Por este motivo, a continuación, analizaremos este tipo de injerto a propósito de un caso clínico en el que se usó asociado a un colgajo pediculado de fascia temporoparietal. (bvsalud.org)
  • The free lateral arm flap has been considered reliable and versatile in many clinical series. (rbcp.org.br)
  • The lateral arm flap was reliable and versatile in head and neck and limb reconstruction. (rbcp.org.br)
  • In the same year, Song described the lateral arm flap. (medscape.com)
  • When donor site morbidity is reduced, this free flap is a useful alternative to other currently used osteocutaneous free flaps for head and neck reconstruction. (medscape.com)
  • In some cases, local rotational flaps are impossible. (bvsalud.org)
  • RT for locoregional control is a feasible option and did not seem to interfere with the survival of flaps. (bvsalud.org)
  • The laparoscopic right gastroepiploic lymph node flap transfer for upper and lower limb lymphedema: Technique and outcomes. (klosetraining.com)
  • Since its first description, the flap has proven to be useful in many head and neck reconstructive situations. (medscape.com)
  • This flap has gained acceptance in head and neck reconstruction because it has been proven to be a donor site with reliable vascularity, ease of harvest, and extreme versatility. (medscape.com)
  • The flaps were used in head and neck, superior and inferior limb reconstructions (etiology: trauma and cancer). (rbcp.org.br)
  • In 1984, Lovie described the ulnar flap and Franklin the deltoid, both of which also are suitable for the foot. (medscape.com)
  • We offer brachioplasty, or arm lift, and thigh lift to transform your extremities. (nybra.com)
  • Dr. Jian Lin is a chief of the Microsurgery Department, Xin-Hua Hospital, affiliated to Shanghai Jiao Tong University School of Medicine, China. (nshealth.ca)
  • The TAP flap involves excising a portion of skin and fatty tissue from the mid-lateral back and transferring it to the breast. (drmichaelhoward.com)
  • It involves total en bloc resection of the lower extremity associated with ipsilateral hemipelvis, resulting in a large coverage defect. (bvsalud.org)