{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T06:24:19Z","timestamp":1761719059380,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,6,4]],"date-time":"2021-06-04T00:00:00Z","timestamp":1622764800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>When performing breast reconstruction, reduction of the contralateral breast is often required to achieve symmetry. The tissue that would otherwise be discarded from the reduced breast has been utilized as a free flap. This has the benefit of minimizing donor site morbidity, and combining the principles of \u201cspare\u2010part\u2010surgery\u201d and replacing \u201clike\u2010with\u2010like.\u201d The purpose of this paper is to report the procedure, outcome, and potential controversies of using a free lateral thoracic artery perforator flap for contralateral breast reconstruction. We present a 32\u2010year\u2010old with congenital breast asymmetry previously corrected with an implant. The patient required tertiary breast reconstruction for capsular contracture, and a simultaneous left breast reduction. There was no history of breast cancer. The reconstruction proceeded as follows; the right sided breast implant was removed. On the left breast, a wise pattern reduction with a superomedial pedicle was instigated. Intraoperatively, four perforating arteriovenous pedicles perfusing the reduced tissue were identified; of which the lateral thoracic artery perforator was selected. The flap weight was 296\u2009g. The lateral thoracic pedicle was anastomosed to the right internal mammary vessels. The flap survived completely. The post\u2010operative course was uneventful and without complication. The patient was followed up for 1\u2009year and was pleased with the final result. The application of the LTAP free flap may cautiously be extended to oncological breast reconstruction. For patients to be suitable, they would need a large remaining breast to provide adequate tissue for reconstruction, up\u2010to\u2010date breast screening and a low risk of developing breast cancer in the future.<\/jats:p>","DOI":"10.1002\/micr.30774","type":"journal-article","created":{"date-parts":[[2021,6,4]],"date-time":"2021-06-04T07:53:29Z","timestamp":1622793209000},"page":"176-180","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Breast augmentation using a free lateral thoracic artery perforator flap from the contralateral breast: A case report"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8236-4021","authenticated-orcid":false,"given":"Olivia L.","family":"Sharp","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery Norfolk and Norwich University Hospital  Norwich United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guido","family":"K\u00f6hler","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Norfolk and Norwich University Hospital  Norwich United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard M.","family":"Haywood","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Norfolk and Norwich University Hospital, Norwich, UK and Department of Anatomy University of East Anglia  Norwich United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dhalia","family":"Masud","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Norfolk and Norwich University Hospital  Norwich United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,6,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2006.01.006"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197808000-00009"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30570"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2015.42.5.532"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01575213"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(81)90050-3"},{"issue":"1","key":"e_1_2_6_8_1","first-page":"4","article-title":"Use of licap and ltap flaps for breast reconstruction","volume":"60","author":"Martellani L.","year":"2019","journal-title":"Acta Chirurgiae Plasticae"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2015.01.008"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.52.7911"},{"key":"e_1_2_6_11_1","first-page":"XXX","article-title":"Unilateral breast reconstruction with the free contralateral split breast flap using supermicrosurgical anastomosis: A case report","author":"Scaglioni M. F.","year":"2020","journal-title":"Microsurgery"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200110000-00015"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30774","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/micr.30774","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30774","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T02:57:49Z","timestamp":1693191469000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.30774"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,4]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["10.1002\/micr.30774"],"URL":"https:\/\/doi.org\/10.1002\/micr.30774","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"type":"print","value":"0738-1085"},{"type":"electronic","value":"1098-2752"}],"subject":[],"published":{"date-parts":[[2021,6,4]]},"assertion":[{"value":"2020-06-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}