Abstract
The use of lateral thoracic skin and fat for breast reconstruction is advantageous because it does not require the use of muscle transfer, and the donor-site incision is well-hidden under the arm. In patients with redundant skin at the thoracic flank, use of this tissue has the added benefit of removal of an unsightly roll. The lateral thoracic skin and fat flap can be harvested using microsurgical technique based on three different pedicles: the thoracodorsal artery perforators; a direct cutaneous branch of either the thoracodorsal, axillary, or lateral thoracic arteries; and the lateral thoracic intercostal perforating vessels. In this report, the authors reviewed options, presented a case illustrating each option, and suggested an algorithm for deciding which pedicle to use.
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