Four Flap Breast Reconstruction - Guided Illustration - By Dr. Joshua L. Levine

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Our New Location: 57 West 57th Street, Suite 1603, New York, NY 10019

All women are candidates for autologous breast reconstruction. Even very thin women can use their own body tissue to reconstruct both breasts. When a patient has scant extra body fat, it is sometimes appropriate to use tissue from more than one donor site. These procedures are called “stacked” or “combination” flap reconstructions.

The most common stacked flap is from the abdomen. One half of the abdominal tissue is often used for one breast reconstruction. This allows us to reconstruct two breasts by using both halves of the abdomen (bilateral). If a thin patient requires one breast reconstruction (unilateral), both halves can be combined to create one breast. This is called a stacked or combined flap breast reconstruction.

When a bilateral breast reconstruction is done for a thin woman, four flaps may be recommended. This would usually include one half of the abdomen (hemi-abdomen) PLUS another flap such as a PAP flap for each breast.

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Learn more about Stacked Combination Flaps:
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Learn about other types of advanced Perforator Flap Procedures we offer:
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Learn more about Expert Breast Reconstruction Surgeon, Dr. Joshua L. Levine:
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