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Breast Reconstruction. Dr. Arash Beiraghi Toosi Plastic Surgery Department Ghaem Hospital. Breast Reconstruction. Implant Autologus. Breast Reconstruction. Implant Relative Contraindications: - Unstable skin circulation - Radiotherapy - Smoking. Breast Reconstruction. TRAM:
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Breast Reconstruction Dr. Arash Beiraghi Toosi Plastic Surgery Department Ghaem Hospital
Breast Reconstruction Implant Autologus
Breast Reconstruction Implant Relative Contraindications: - Unstable skin circulation - Radiotherapy - Smoking
Breast Reconstruction TRAM: Contraindications: Previous abdominoplasty Insufficient skin or fat Smoking DM Obese
Breast Reconstruction TRAM: Unipedicled Bipedicled Free flap Perforator flap (DIEAP)
Breast Reconstruction Latissimus: Indications: Not candidate for TRAM Rx in breast conservation Lumpectomy Unreliable flaps on implant Previous pexy or reduction Augmented breasts Large ptotic breasts
Breast Reconstruction Latissimus: Contraindications: Previous thoracotomy Division of thoracodorsal n. Planned radiation
Breast Reconstruction Perforator Flaps: DIEAP (Deep inferior epigastric artery perforator)
Breast Reconstruction Perforator Flaps: Superior Gluteal Artery Perforator Flap
Breast Reconstruction Alternative Free Flaps: Lateral Transverse Thigh
Breast Reconstruction Alternative Free Flaps: Rubens
Breast Reconstruction Alternative Free Flaps: Gluteal Flap