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Niger J Clin Pract. 2019 Sep;22(9):1304-1306. doi: 10.4103/njcp.njcp_170_19.

Salvage local fasciocutaneous flap for T-junction tissue defect in inverted T-scar reduction mammoplasty.

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Department of Plastic, Reconstructive and Aesthetic Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey.


Macromastia can cause serious psychological problems in women as well as psychosocial problems due to esthetic appearances. For this reason, proper technique in breast reduction surgery yields a dramatic physical and psychological improvement for the patient. Inverted T-scar breast reduction using the inferior pedicle technique is the most commonly used breast reduction method. The most common complication in this technique regards wound healing at the T-junction area. There are no literature reports citing the use of local flaps for the repair of tissue defects in the T-junction area following reduction mammoplasty. In this study, we present a case of using a salvaged local, Limberg-like fasciocutaneous flap for tissue defect repair at the T-junction area after the inverted T-scar reduction mammoplasty using an inferior pedicle.


Breast reduction; fasciocutaneous flap; inverted T-scar; limberg flap; local flap

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