Application of serratus anterior muscle flap transfer in lateral part deformity of expander to implant breast reconstruction

Abstract

Objective To explore the application and clinical significance of serratus anterior muscle flap transfer in correction of lateral part deformity of expander to implant breast reconstruction. Methods Six patients who received expander-to-implant breast reconstruction were enrolled. After silicone implant replacing the tissue expander, all 6 cases represented lateral part deformity of the reconstructed breast. The turn-over serratus anterior muscle flap was used as lateral coverage of the deformed breast. Results Of all patients (6 cases), breast aesthetics were improved with incisions well-healed. There were no complications such as capsular contracture, hematoma, infection or insicional dehiscence. Conclusions Serratus anterior muscle flap can provide sufficient lateral coverage for expander-to-implant breast reconstruction. It is safe, simple and cheap to apply in improving the aesthetics of breast reconstruction. Key words: Mammaplasty; Reconstructive surgical procedures; Breast reconstruction; Deformity; Serratus anterior muscle flap