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Plastic Surgery International
Volume 2011 (2011), Article ID 359842, 7 pages
http://dx.doi.org/10.1155/2011/359842
Clinical Study

Breast-Volume Displacement Using an Extended Glandular Flap for Small Dense Breasts

Department of Breast Surgery, Mie University Graduate School of Medicine, Mie 514-8507, Japan

Received 30 November 2010; Revised 21 June 2011; Accepted 21 June 2011

Academic Editor: Hiko Hyakusoku

Copyright © 2011 Tomoko Ogawa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We defined the glandular flap including fat in the subclavicular area as an extended glandular flap, which has been used for breast-conserving reconstruction in the upper portion of the breast. Indication. The excision volume was 20% to 40% of the breast volume, and the breast density was dense. Surgical Technique. The upper edge of the breast at the subclavicular area was drawn in the standing position before surgery. After partial mastectomy, an extended glandular flap was made by freeing the breast from both the skin and the pectoralis fascia up to the preoperative marking in the subclavicular area. It is important to keep the perforators of the internal mammary artery and/or the branches of the lateral thoracic artery intact while making the flap. Results. Seventeen patients underwent remodeling using an extended glandular flap. The cosmetic results at 1 year after the operation: excellent in 11, good in 1, fair in 3, and poor in 2. All cases of unacceptable outcome except one were cases with complications, and more than 30% resection of moderate or large size breasts did not obtain an excellent result for long-term followup. Conclusion. This technique is useful for performing the breast-conserving reconstruction of small dense breasts.