ABSTRACT
There is a small subgroup of patients requiring reconstruction, which should be discussed.
These include those that require autogenous augmentation either due to complications
and failure of prosthetic augmentation or due to congenital breast deformities. The
following article outlines our approach and correction of these problems of autogenous
augmentation with the use of deep inferior epigastric artery perforator, gluteal artery
perforator, and superficial inferior epigastric artery flaps. Twenty free flap breast
augmentations were performed in 16 patients. Indications included the correction of
Poland's syndrome, pectus excavatum, congenital breast hypoplasia, failed prosthetic
augmentation, and autogenous augmentation for symmetry during reconstruction for malignancy.
Autogenous augmentation remains a viable option for those concerned with the long-term
risk or failure of prosthetic augmentation or those whom prefer a more natural breast.
KEYWORD
Autogenous breast augmentation - free perforator flaps - congenital breast deformity
- superficial inferior epigastric artery flaps - implant failure
