Management of Congenital Breast Deformities and Autogenous Breast Augmentation

• Published in: Seminars in plastic surgery Vol. 16; no. 1; pp. 069 - 076
• Main Authors: Sullivan, Scott K., Heitland, Andreas S.
• Format: Journal Article
• Language: English
• Published: 2002
• Subjects: Autogenous breast augmentation; free perforator flaps; superficial inferior epigastric artery flaps; implant failure; congenital breast deformity
• ISSN: 1535-2188; 1536-0067
• DOI: 10.1055/s-2002-22682

ABSTRACT There is a small subgroup of patients requiring reconstruction, which should be discussed. These include those that require autogenous augmentation either due to complications and failure of prosthetic augmentation or due to congenital breast deformities. The following article outlines our approach and correction of these problems of autogenous augmentation with the use of deep inferior epigastric artery perforator, gluteal artery perforator, and superficial inferior epigastric artery flaps. Twenty free flap breast augmentations were performed in 16 patients. Indications included the correction of Poland's syndrome, pectus excavatum, congenital breast hypoplasia, failed prosthetic augmentation, and autogenous augmentation for symmetry during reconstruction for malignancy. Autogenous augmentation remains a viable option for those concerned with the long-term risk or failure of prosthetic augmentation or those whom prefer a more natural breast.