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J Breast Cancer. 2013 Jun;16(2):236-43. doi: 10.4048/jbc.2013.16.2.236. Epub 2013 Jun 28.

Abdominal advancement flap as oncoplastic breast conservation: report of seven cases and their cosmetic results.

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  • 1Department of Breast Surgery, Mie University Graduate School of Medicine, Tsu, Japan.


An abdominal advancement flap (AAF) is a flap that pulls the elevated abdominal skin up and creates the shape of the inferior portion of the breast by making a neo-inframammary fold. Seven patients underwent remodeling using an AAF or a method combining an AAF with other volume displacement techniques after partial mastectomy. The excision volume ranged from 15% to 35%. AAF with only mobilization of the gland flaps was performed in two cases, with lateral mammoplasty in one case, with the round block technique (RBT) in one case, with a modified RBT in one case, and with medial mammoplasty in two cases. Although one patient treated with a RBT had a partial blood-flow insufficiency of the nipple-areola complex, it improved with conservative treatment. The cosmetic results were found to be excellent in three cases, good in three, and fair in one case.


Mammaplasty; Operative surgical procedures; Segmental mastectomy

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