Reverse abdominoplasty advancement flap: An effective and low morbidity reconstruction option for the radical mastectomy patient

Abstract

Introduction: Radical mastectomy (RM) is indicated for patients with locally uncontrolled breast carcinoma or angiosarcoma of the breast, for either local control or with curative intent. Flap coverage is routinely offered using pedicled or free flap reconstruction, committing the patient to a long post-operative recovery and risks significant donor site morbidity long-term. We suggest reverse abdominoplasty advancement (RAA) flap a viable option for these high-risk patients, providing a lower risk intra-operative course, earlier return to normal activities of daily living and preserved oncological outcomes.