BREAST RECONSTRUCTION BY EXPANSION AND ADVANCEMENT OF THE UPPER ABDOMINAL FLAP

Inspired by successful reconstruction obtained using the Lewis-Ryan lo wer thoracic advancement flap to rebuild missing breast, we have adapt ed that extremely simple technique to prior serial expansions, in orde r to create more natural mounds, better defined submammary folds, and when possible, some grade of ptosis, without additional, new scarring. The procedure is introduced and compared to other such flaps as the T RAM and the latissimus dorsii. In our series, 30 patients were evaluat ed according to the quality of the final results, and the most frequen t complications are pointed out and discussed.