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Chapter 8 Small irregularities can be corrected with lipofilling. The flap obtained is small but long, very similar to the shape of the TMG flap. Consequently, the sc-TFL can be inserted in the same way as the TMG by suturing the tips of the ellipse together providing a better pyramidal shape to the breast19 (fig 8.9). In conclusion, imaging of the upper thigh region showed a consistent anatomy of the perforator based septocutaneous TFL flap. The dissection of this flap is relatively simple and a reliable method for autologous micro- surgical breast reconstruction. 145


5. lay-out phd DEFINITIEF_digitaal2
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