Flat Aesthetic Mastectomy Closure with the Angel Wing Technique to Address Lateral Adiposity: Technique and Outcome Analysis

Figure 3

Intraoperative angel wing technique. The AW incision is created first, and thick subcutaneous flaps developed superiorly and inferiorly; the excess lateral adiposity is excised superficially to the latissimus dorsi fascia, keeping the fascia intact. During flap reapproximation, it is important to shift the ipsilateral abdominal wall medially to restore neutral body alignment. Skin staples are used to temporarily approximate the lateral skin for ease of flap alignment and to minimize blood loss.