Breast SurgeryBilateral Breast Reconstruction Using Bilateral Anterolateral Thigh Flaps A Case ReportBernier, Christina MD*; Ali, Rozina MD†; Rebecca, Alanna MD‡; Cheng, Ming-Huei MD, MHA§¶Author Information From the *Division of Plastic Surgery, Centre Hospitalier de l’Université de Montreal, Hôpital Notre Dame, Montreal, Canada; †Division of Plastic Surgery, Norfolk and Norwich University Hospital, Norwich, UK; ‡Department of Plastic and Reconstructive Surgery, Mayo Clinic, Scottsdale, AZ; §Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; and ¶Department of Plastic Surgery, Xiamen Chang Gung Hospital, Fujian, China. Received February 2, 2008, and accepted for publication, after revision, May 2, 2008. Reprints: Ming-Huei Cheng, MD, MHA, 5, Fu-Hsing Street, Kweishan, Taoyuan 333, Taiwan. E-mail: [email protected] or [email protected]. Annals of Plastic Surgery: February 2009 - Volume 62 - Issue 2 - p 124-127 doi: 10.1097/SAP.0b013e31817e9d4e Buy Metrics Abstract Options for autologous reconstruction have been limited in some patients by previous abdominal surgeries, and by lack of adequate abdominal tissue. The anterolateral thigh (ALT) flap has previously been described as an alternate donor site for autologous breast reconstruction when abdominal tissue is unavailable or unsuitable. We describe our experience with a 41-year-old low body mass index (19.8 kg/m2) patient with previous suction-assisted lipectomy underwent bilateral breast reconstruction using bilateral ALT flaps. At a follow-up of 2 years, the patient was delighted with her reconstructed breasts and despite her athletic build was able to fill a B cup bra. ALT flap has the advantages of a long pedicle, adequate soft adipose tissue, and also allowing supine positioning with a 2-team approach. The anterolateral flap is a credible alternative that may be considered for bilateral autologous breast reconstruction in selected patients. © 2009 Lippincott Williams & Wilkins, Inc.