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Breast Augmentation with Tissue Flap

Breast augmentation is a reconstructive surgery that is used to increase the size, change the shape and alter the texture of breasts in women.  After the surgery of breast cancer. It is also known as autologous tissue mammography. That uses tissue of your own body such as tummy, thighs, buttock and back to rebuild the shape of breast, rather than using breast implant and fat grafts.

Breast augmentation with tissue flap generally look more natural and more behave like natural breast tissue than breast implants, as they may get bigger or smaller as you gain or loss the weight. Breast implant are sometime need to be replaced (e.g.: rupture), this is not a concern in the tissue flap.

Tissue flap usually last a lifetime, because implants are needed to be replaced after 10 to 20 years

Types of tissue flap  procedure:

  1. TRAM( Transverse rectus abdomen muscle) flap:

      Which uses the muscle from abdomen (tummy)

  • DIEP(deep inferior epigastric  perforator) flap:

       Which also uses the tissue from the abdomen (tummy), except muscle that is also used in TRAM.

  • Latissimus dorsi flap: which uses the tissue from the upper back.
  • GAP (gluteal artery perforator)flap: which uses the tissue from the buttock also known as  gluteal free flap.
  • TUG(Transverse upper gracillus): which uses the tissue from the thigh.


In this process, tissue flap are completely separated from original blood vessel and picked up and moved to its new place in your chest. This is referred as free flap.

Or the tissue can remain attached to  its original blood vessels, and moved under your skin to the chest, This is known as pedicle flap. They have been around longer and are easier to do,  because we don’t have any need of fixing of blood vessels in breast  so tend to be more widely available.

In both these types, the tissue is formed in the shape of breast and stitched into the place.

Goals of breast augmentation:

  1. Is to restore the breast mound with adequate volume and size.
  2. Achieve symmetry with contralateral breast
  3. Nipple areolar complex
  4. Skin envelop
  5. Women look normal in their clothing, so they can wear normal clothes and do not need to wear prosthesis.

Fat grafting:

The donor site of for this tissue for your flap reconstruction depend on a number of factors that include:

  1. Body type
  2. Breast size
  3. Whether you plan to getting pregnant
  4. Hospital and plastic surgeons in your area

Things to be known about flaps reconstruction:

The physical type of each autologous reconstruction are highly individual to your body, your range of motion, your physical strength, and your normal day-to-day activities.

With all types of reconstruction (implant or flap) there is “no one done” option: there is always a later surgery to make adjustment sometimes called finishing work. Example: nipple reconstruction, reshaping of a flap, removing extra fat from donor site. Usually none of the adjustment is absolutely is required, so talk to your surgeon.