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The vertical gracilis myocutaneous flap for breast reconstruction in a massive weight loss patient
  1. Martin Söderman,
  2. Jørn Bo Thomsen and
  3. Jens Ahm Sørensen
  1. Department of Plastic and Reconstructive Surgery, Odense University Hospital, Odense, Denmark
  1. Correspondence to Dr Martin Söderman; Martin.Soderman{at}


The number of patients undergoing bariatric surgery is increasing worldwide. Different types of free flaps are often used for breast reconstruction following mastectomy. We present a not previously described case using a vertical myocutaneous gracilis flap for breast reconstruction in a massive weight loss patient. The patient was a 61 year-old woman who previously had a lumpectomy for an in situ ductile carcinoma of her left breast. Subsequently the patient underwent a full mastectomy in 2020 due to a recurrence. The massive weight loss population poses a challenge in reconstructive surgery, due to their higher risk of complications. However, we still believe free flaps should be considered as a valid option for breast reconstruction in these patients. Due to the often increased size of perforator vessels in these patients, other flaps may prove more suitable than the usually preferred ones.

  • plastic and reconstructive surgery
  • breast surgery

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  • Contributors MS: writing and revising manuscript, taking pictures, follow-up with case patient. JBO: writing and revising manuscript. JAS: initiating the project, writing and revising manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.