The use of perforator free flaps (DIEP, SGAP) in bilateral breast reconstruction after different types of mastectomy. Case presentation

Over the last few years autologous breast reconstruction has become an important issue in the field of oncological surgery. At present, among the many different techniques, microvascular free flaps are recognized as a golden standard for postmastectomy reconstruction. Recently the use of flaps based on deep inferior epigastric and superior gluteal perforators is becoming more frequent and is commonly used for both uni- and bilateral breast restoration. Nevertheless, the choice between different microvascular reconstructive methods is still a matter of discussion. Basing upon our own experience with 76 free flaps we present three cases of different microvascular techniques for bilateral breast reconstruction. We present and discuss the technical details regarding planning and together with the postoperative results and a quality of life analysis. (authors)