Immediate reconstruction using a modified inframammary adipofascial flap after partial mastectomy

Yuko Kijima, Heiji Yoshinaka, Munetsugu Hirata, Tadao Mizoguchi, Sumiya Ishigami, Hideo Arima, Akihiro Nakajo, Shinichi Ueno, Shoji Natsugoe

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11 Citations (Scopus)


Breast conservative therapy (BCT) as treatment for early breast cancer usually ensures local control and acceptable cosmetic results. We describe a new technique of using an inframammary adipofascial flap to reconstruct defects caused by lower-pole partial mastectomy, which achieved excellent results (Kijima et al. in Am J Surg 193:789-91 (1); Sakai et al. in Ann Plast Surg 29(2):173-7, 2; Ogawa Am J Surg 193:514-8, 3). We developed this procedure as an oncoplastic technique for a Japanese woman with a similar defect without ptosis. After partial mastectomy, the superior half of the flap is harvested via an initial incision along the inframammary line, and the inferior half is harvested via an additional incision along the caudal edge of the flap, to produce a crescent of de-epithelialized skin. A tongue-shaped flap containing the crescent of de-epithelialized skin, subcutaneous fat, and the fascia of the vertical rectus abdominis muscle is then rotated upwards, gathered, and inserted into the breast defect.

Original languageEnglish
Pages (from-to)456-460
Number of pages5
JournalSurgery Today
Issue number4
Publication statusPublished - 04-2013
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery


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