Vertical Inset of the Latissimus Dorsi Flap Improves Reconstruction Aesthetics by Reducing Scar Burden in the "Social Breast"

Annals of Plastic Surgery
Caleb M SteffenMark A Brzezienski

Abstract

The skin paddle of the latissimus dorsi flap is typically inset horizontally (HILD) in breast reconstruction. We describe our experience with the vertical inset of the latissimus dorsi (VILD) and its aesthetic benefit. We performed a case-control study comparing the most recent cases of both VILD and HILD. Scar, as seen on anterior-posterior photographs, was digitally measured and compared from 3 clinically relevant areas: (1) all visible scarring ("mirror view"), (2) scarring above the nipple ("self-view"), and (3) scarring above or medial to the nipple ("social view"). Demographics and outcomes were statistically compared. Fifty of the most recent patients receiving HILD or VILD were selected for each group. Average patient age was 55.6 and 51.6 years (P = 0.32), and average follow-up was 531.6 and 606.7 days (P = 0.20), respectively. The VILD scar-length ratios were decreased by 17% in the mirror view (P ≤ 0.01), 37% in the self-view (P ≤ 0.01), and 37% in the social view (P ≤ 0.01). There were no statistically significant differences between groups regarding smoking (P = 0.75), diabetes (P = 0.70), body mass index (P = 0.74), seroma (P = 0.46), infection (P = 1.0), or flap necrosis (P = 0.70). The VILD is safe and reliable....Continue Reading

References

Jan 1, 1987·Aesthetic Plastic Surgery·C Lassus
Oct 17, 1998·Plastic and Reconstructive Surgery·E DelayM Rivoire
Apr 11, 2001·Annals of Plastic Surgery·J I de la TorreL O Vasconez
Mar 9, 2002·Plastic and Reconstructive Surgery·Paul P M van ZuijlenEsther Middelkoop
Jan 11, 2003·BMJ : British Medical Journal·A BayatM W J Ferguson
May 4, 2005·The International Journal of Lower Extremity Wounds·Paul P M van ZuijlenEsther Middelkoop
Dec 24, 2005·Annals of Plastic Surgery·Erez G SternbergJames C Waldorf
Dec 24, 2005·Annals of Plastic Surgery·Bruce A Mast, Donna K Simoneau
Jan 13, 2006·Plastic and Reconstructive Surgery·William N Andrade, John L Semple
Nov 24, 2006·Annals of Plastic Surgery·Maurice MimounStéphane Smarrito
Feb 11, 2010·Plastic and Reconstructive Surgery·Alan J DurkinPaul D Smith
Jun 16, 2010·Annals of Plastic Surgery·Albert LoskenGrant W Carlson
Aug 4, 2010·Plastic and Reconstructive Surgery·Steven BaileyRod J Rohrich
Nov 9, 2011·Aesthetic Surgery Journal·Claude Lassus
Feb 22, 2012·World Journal of Surgery·Manish C ChampaneriaSubhas C Gupta
Mar 8, 2012·Aesthetic Surgery Journal·Stefano BonomiVincenzo Rapisarda
Nov 20, 2012·The Breast : Official Journal of the European Society of Mastology·Hisamitsu Zaha, Mai Onomura
Apr 3, 2014·Annals of Plastic Surgery·Emme D Chapman-JacksonMark A Brzezienski
Nov 22, 2014·Plastic and Reconstructive Surgery·Fabio Santanelli di PompeoBenedetto Longo
Oct 3, 2015·Archives of Plastic Surgery·Cormac W JoyceColin M Morrison
Mar 28, 2017·Annals of Plastic Surgery·Michael R DeLongAndrew L Da Lio

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Plastic Surgical Nursing : Official Journal of the American Society of Plastic and Reconstructive Surgical Nurses
K C Walsh
© 2022 Meta ULC. All rights reserved