LSGAP "Love Handle" Flap Breast Reconstruction
This 44 year old patient had breast cancer and elected a nipple-sparing mastectomy. She had immediate reconstruction (at the time of the mastectomy) with the LSGAP "Love Handle" flap, a technique that borrows skin and fat from the upper/outer buttock (love handle) region of the body. We pioneered this method at Johns Hopkins. Notice the excellent restoration of volume with a hidden scar, located beneath the breast in the natural fold. Also notice the larger volume.
Here the larger volume is appreciated. The red arrow in the "after" photo shows the hidden scar and a very small area of skin from the buttock area.
This young patient had the "love handle" flap technique. This is a highly complex microvascular free flap operation - this means that tissue connected to a small blood vessel is very carefully dissected and then transferred to the breast where tiny blood vessels are connected under a... microscope using suture that is thinner than a human hair. Only plastic surgeons who routinely do microvascular free flap surgery do this technique.
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