Bilateral breast reconstruction using bilateral anterolateral thigh flaps: A case report

Christina Bernier*, Rozina Ali, Alanna Rebecca, Ming Huei Cheng

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

6 Scopus citations


Options for autologous reconstruction have been limited in some patients by previous abdominal surgeries, and by lack of adequate abdominal tissue. The anterolateral thigh (ALT) flap has previously been described as an alternate donor site for autologous breast reconstruction when abdominal tissue is unavailable or unsuitable.We describe our experience with a 41-year-old low body mass index (19.8 kg/m) patient with previous suction-assisted lipectomy underwent bilateral breast reconstruction using bilateral ALT flaps.At a follow-up of 2 years, the patient was delighted with her reconstructed breasts and despite her athletic build was able to fill a B cup bra.ALT flap has the advantages of a long pedicle, adequate soft adipose tissue, and also allowing supine positioning with a 2-team approach. The anterolateral flap is a credible alternative that may be considered for bilateral autologous breast reconstruction in selected patients.

Original languageEnglish
Pages (from-to)124-127
Number of pages4
JournalAnnals of Plastic Surgery
Issue number2
StatePublished - 02 2009


  • Anterolateral thigh flap
  • Bilateral reconstruction
  • Breast reconstruction
  • Perforator flap


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