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The Pyramidal Flap

an Innovative Technique for DIEP Flap Refinement

Leache, M. Elena, MD*; Lozano, Jose Ángel, MD, PhD; Rubi, Carlos G., MD; Pérez-Espadero, Alberto, MD§; Escudero, Francisco Jose, MD, PhD

Plastic and Reconstructive Surgery – Global Open: November 1, 2018 - Volume Latest Articles - Issue - p
doi: 10.1097/GOX.0000000000001968
Latest Articles: PDF Only

Summary: DIEP flap is considered the gold standard technique for breast reconstruction. One of the most frequent contour deformities after breast reconstruction with DIEP flap is a step-off deformity at the interface between the native chest wall and the reconstructed breast. Different techniques have been used to address this problem. We describe the pyramidal flap as a simple, single stage and low risk procedure, which specifically corrects the step-off or tapering deformity of the reconstructed breast with DIEP flap.

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From the *Department of Plastic and Reconstructive Surgery, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain

Department of Plastic and Reconstructive Surgery, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain

Department of Plastic and Reconstructive Surgery, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain

§Department of Plastic and Reconstructive Surgery, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain

Department of Plastic and Reconstructive Surgery, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain.

Published online 1 November 2018.

Received for publication November 21, 2017; accepted August 1, 2018.

Presented at the 49th Spanish Plastic Surgery Society National Meeting (SECPRE), Granada, Spain, 2014.

Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.

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M. Elena Leache, MD, Complejo Hospitalario de Navarra, Irunlarrea 3, CP 31008, Pamplona, Navarra, Spain, E-mail: elenaleache@gmail.com

Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons. All rights reserved.