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Journal of Nippon Medical School

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-Case Reports-

A Case of Breast Reconstruction with Bilaterally Divided Transverse Rectus Abdominis Musculocutaneous Flaps after Removal of Injected Silicone and Granuloma

Shimpei Ono, Rei Ogawa, Yoshihiro Takami and Hiko Hyakusoku

Department of Plastic, Reconstructive and Regenerative Surgery, Graduate School of Medicine, Nippon Medical School
Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School


We present a case of breast reconstruction using bilaterally divided transverse rectus abdominis musculocutaneous flaps after the removal of severe siliconoma. In Japan, we have examined many patients who have had foreign substance injected into the breasts for augmentation. Most of these patients have had delayed complications. We believe that autologous tissue transfer is an ideal procedure for breast reaugmentation in patients who want to have artificial materials removed from the breasts but to maintain breast contour.

J Nippon Med Sch 2012; 79: 223-227

Keywords
breast reconstruction, transverse rectus abdominis musculocutaneous flap, silicone, complication

Correspondence to
Shimpei Ono, MD, PhD, Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
s-ono@nms.ac.jp

Received, July 15, 2011
Accepted, October 25, 2011