Total breast reconstruction using chest wall perforator flaps combined with oncoplastic techniques.

Onyedi Moses, Michael Faheem, Dilsan Yilmaz, Pierre Jean-Marie, Mustafa Khanbhai, Md Zaker Ullah, Shweta Aggarwal

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Article in JPRAS open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Onyedi MosesDepartment of Breast Surgery, Barts Health NHS Trust, London, UK.

Michael FaheemDepartment of Breast Surgery, Barts Health NHS Trust, London, UK.

Dilsan YilmazDepartment of Breast Surgery, Barts Health NHS Trust, London, UK.

Pierre Jean-MarieDepartment of Breast Surgery, Barts Health NHS Trust, London, UK.

Mustafa KhanbhaiDepartment of Breast Surgery, Barts Health NHS Trust, London, UK.

Md Zaker UllahDepartment of Breast Surgery, Barts Health NHS Trust, London, UK.

Shweta AggarwalDepartment of Breast Surgery, Barts Health NHS Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Total breast reconstruction (TBR) for patients unsuitable for traditional autologous free flap or implant-based reconstruction methods poses a significant challenge. This case series explores novel approaches using chest wall perforator flaps (CWPF) combined with other oncoplastic techniques to achieve TBR. From 2022 to 2024, we managed nine mastectomy patients and one patient with isolated congenital amazia with CWPFs alone or combined with one of the following: Golidilocks mastectomy and extended CWPF, multiple CWPFs, fat grafting, and implant-based reconstruction. All patients achieved satisfactory outcomes with minimal complications and no flap loss. CWPFs combined with oncoplastic techniques are a viable strategy in select patients that are ineligible for, or have preferences against, more common methods of reconstruction. Combined oncoplastic techniques provide versatile reconstructive options that can be personalized to individual patients.

Indexed as

Chest wall perforator flapCombined techniquesOncoplastic breast surgeryTotal breast reconstruction

Identifiers

PMID42254036

DOI10.1016/j.jpra.2026.05.014

PMCPMC13240753

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