New Possible Surgical Approaches for the Submammary Adipofascial Flap Based on Its Arterial Supply

Figure 3

(a) A photograph of anterior abdominal wall showing 7 lateral perforators (P1→P7) on the right side (Rt) and 9 lateral perforators (P1→P9) on the left side (Lt). They supply SMAF. The right nipple (N), the umbilicus (U), and linea alba (LA) are noted. The submammary line is marked by dark line. Xiphoid process is marked by white pin. (b) A close-up photograph of the previous specimen. The perforators arise from the superior epigastric artery (SE) and pass through rectus abdominis muscle (RA) and rectus sheath (RS). (c) A close-up photograph showing the superior epigastric artery (SE) giving medial (M) and lateral (L) perforators. Lateral perforators pass into and supply SMAF.

(a)

(b)

(c)