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[19]
during flap dissection . Drains are often required for 4 or more weeks postoperatively. In some cases,
when seroma occurs following drain removal, the seroma will spontaneously resolve over the course of
several months, but surgical revision is sometimes necessary for persistent seroma. Transection of sensory
nerves during flap harvest alters the sensation in the donor site, and as such, nerves should be repaired if
possible. Lastly, the waist may require additional liposuction in the revision stages of reconstruction to
create a symmetric and aesthetic contour in patients who undergo unilateral LAP flap procedures.

SUMMARY WITH KEY POINTS
● Lumbar artery perforator flaps serve as a valuable alternative for autologous breast reconstruction when
the abdominal donor site is not feasible.
● Achieving a reliable reconstruction with lumbar artery perforator flaps often involves arterial and venous
interposition grafts.
● The lumbar perforator flap exhibits similarities to the technique employed in posterior body lift cosmetic
surgery, ensuring an outstanding aesthetic outcome at the donor site.

DECLARATIONS
Authors’ contributions
Wrote the manuscript: Fisher MH
Edited the manuscript, provided photos and figures: Greenspun DT

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
Both authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
Informed consent to participate was obtained from all patients.

Consent for publication
Informed consent for publication was obtained from all patients.

Copyright
© The Author(s) 2024.

REFERENCES
1. Sgarzani R, Negosanti L, Morselli PG, Vietti Michelina V, Lapalorcia LM, Cipriani R. Patient satisfaction and quality of life in DIEAP
flap versus implant breast reconstruction. Surg Res Pract 2015;2015:405163. DOI PubMed PMC
2. Miseré RM, van Kuijk SM, Claassens EL, Heuts EM, Piatkowski AA, van der Hulst RR. Breast-related and body-related quality of life
following autologous breast reconstruction is superior to implant-based breast reconstruction - A long-term follow-up study. Breast
2021;59:176-82. DOI PubMed PMC
3. Yueh JH, Slavin SA, Adesiyun T, et al. Patient satisfaction in postmastectomy breast reconstruction: a comparative evaluation of
DIEP, TRAM, latissimus flap, and implant techniques. Plast Reconstr Surg 2010;125:1585-95. DOI PubMed
4. Levine SM, Patel N, Disa JJ. Outcomes of delayed abdominal-based autologous reconstruction versus latissimus dorsi flap plus
implant reconstruction in previously irradiated patients. Ann Plast Surg 2012;69:380-2. DOI PubMed
5. Matros E, Albornoz CR, Razdan SN, et al. Cost-effectiveness analysis of implants versus autologous perforator flaps using the
BREAST-Q. Plast Reconstr Surg 2015;135:937-46. DOI PubMed