ePlasty: Vol. 11
Re-creation of the Inframammary Fold, Breast Mound, and Projection by the Latissimus Dorsi Musculocutaneous Flap in Burned Breasts
Seyed Mehdi Mousavizadeh, MD,a Sadrollah Motamed, MD,a Seyed Nejat Hosseini, MD,a,b Parvin Yavari, PhDc

aPlastic and Reconstructive Surgery Department, 15 Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran; bZanjan University of Medical Sciences, Zanjan, Iran; and cDigestive Disease Research Center, Shariati Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Correspondence: nejat.hosini@zums.ac.ir

Objective: Some of the most difficult problems to solve in a postburn breast are the correction of the breast mound deficiency, contour, and projection deformity, which are often associated with an anterior trunk scar. The aim of this study was to describe our experiences of postburn breast reconstruction by the island latissimus dorsi musculocutaneous flap (LDMCF). Method: Operative procedures were planned after measuring the volume, dimensions, sternal notch-to-nipple distance, deviation, asymmetry, contour, and projection. Scar contracture release was carried out and complete muscle elevation was performed in all patients. The size of the skin paddle depended on the envelope deficiency. Afterward, LDMCF was transferred by a subcutaneous tunneling, and the muscle was sutured in retroglandular, inferomedial, and infer .......