Breast reconstruction with dermofat flaps after subcutaneous mastectomy.

Several techniques have been proposed for reconstruction of the breast after mastectomy. The authors present their experience with 19 patients; dermofat flaps were the preferred procedure. The authors discuss their technique of preparing and modeling the flaps, as well as some modifications and the possibility of using silicone prostheses. The limitations of the technique are reduced dimensions of the reconstructed breast, large and sometimes evident scars, and the difficulty or impossibility of performing the procedure on thin patients. The results are deemed positive, and the incidence of complications low. The authors consider the method a valid alternative to the use of prostheses in reconstruction after subcutaneous mastectomy.