Secondary Logo

Journal Logo


Mehrara, Babak J., M.D.

Plastic and Reconstructive Surgery: December 2009 - Volume 124 - Issue 6 - p 2192
doi: 10.1097/PRS.0b013e3181bcf73d

Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, N.Y. 10021,

Back to Top | Article Outline


The authors wish to thank Dr. D'Arpa for his letter and congratulate his team on their excellent results. One of the best things about our field is that there are often numerous ways to achieve the same end result. The technique we demonstrate works well in our hands. We have not had complications with bleeding of the muscle edge or other issues outlined by Dr. D'Arpa. In addition, this technique has significantly decreased the incidence of contour deformities associated with rib resection as compared with published methods of internal mammary vessel dissection.1 In fact, most published methods have used techniques similar to those outlined by Dr. D'Arpa and his group in this letter. It is critical for us as surgeon-scientists to review our data objectively and without bias rather than anecdotally. Therefore, we encourage Dr. D'Arpa and his team to review their series and publish their results in a peer-reviewed journal.

Babak J. Mehrara, M.D.

Department of Surgery

Memorial Sloan-Kettering Cancer Center

1275 York Avenue

New York, N.Y. 10021

Back to Top | Article Outline


1. Mosahebi A, Da Lio A, Mehrara BJ. The use of a pectoralis major flap to improve internal mammary vessels exposure and reduce contour deformity in microvascular free flap breast reconstruction. Ann Plast Surg. 2008;61:30–34.

Section Description


Letters to the Editor, discussing material recently published in the Journal, are welcome. They will have the best chance of acceptance if they are received within 8 weeks of an article's publication. Letters to the Editor may be published with a response from the authors of the article being discussed. Discussions beyond the initial letter and response will not be published. Letters submitted pertaining to published Discussions of articles will not be printed. Letters to the Editor are not usually peer reviewed, but the Journal may invite replies from the authors of the original publication. All Letters are published at the discretion of the Editor.

Authors will be listed in the order in which they appear in the submission. Letters should be submitted electronically via PRS' enkwell, at

We reserve the right to edit Letters to meet requirements of space and format. Any financial interests relevant to the content of the correspondence must be disclosed. Submission of a Letter constitutes permission for the American Society of Plastic Surgeons and its licensees and asignees to publish it in the Journal and in any other form or medium.

The views, opinions, and conclusions expressed in the Letters to the Editor represent the personal opinions of the individual writers and not those of the publisher, the Editorial Board, or the sponsors of the Journal. Any stated views, opinions, and conclusions do not reflect the policy of any of the sponsoring organizations or of the institutions with which the writer is affiliated, and the publisher, the Editorial Board, and the sponsoring organizations assume no responsibility for the content of such correspondence.

©2009American Society of Plastic Surgeons