Breast Reconstruction With Local Flaps: Don't Forget Grandma

Bradley J. Vivace, BS; Swapnil D. Kachare, MD, MBA; Michael Ablavsky, MD; Sara R. Abell, BS; Luke T. Meredith, BS; Christina N. Kapsalis, MD; Joshua H. Choo, MD; Bradon J. Wilhelmi, MD


ePlasty. 2019;19(e23) 

In This Article

Case 5: Rotational Flap

A 64-year-old African American woman underwent excision for recurrent invasive ductal carcinoma in her lateral right breast/axillary region. The resulting defect was 8 × 8 cm. Given ample axillary laxity, the decision was made to perform a fasciocutaneous rotational flap for reconstruction of the defect. Figure 5 demonstrates the design of the flap and defect, and Figure 6 demonstrates post–flap inset.

Figure 5.

Defect after excision of recurrent invasive ductal carcinoma.

Figure 6.

Closure with rotational flap.