The perfect method for breast reconstruction would be safe, reliable, reproducible, applicable to all patients, and would have no donor site morbidity. The ideal reconstructed breast would provide symmetric, permanent, and natural results. There has been development and refinement of autogenous methods of breast reconstruction throughout the literature. The TRAM flap remains the most popular method of autogenous reconstruction. This popularity is due to the relative ease with which the procedure is performed but it has its own drawbacks. Other procedures include: Deep inferior epigastric artery perforator flap; free flaps (free TRAM flap; free superior gluteal myocutaneous flap); pedicled lattisimus dorsi flap, etc. We have reconstructed the breast in ten patients after mastectomy with a different technique which is cutaneoglandular flap from the contralateral normal breast. It has the advantage of using normal breast tissue for reconstruction in addition to reduction of a possible large breast the patient may have. It is almost without donor site morbidity and there is no need to reposition the patient intraoperatively. It is mostly used when the patient is reluctant to undergo a big operation. This technique can also be used when there are contraindications to other techniques. In this paper, patients are presented who have undergone contralateral cutaneouglandular flap with an inferior pedicle and free nipple graft technique with fairly satisfactory results.
breast cutaneoglandular flap
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