A lower thoracic advancement flap for use in postmastectomy breast reconstruction is described that allows modest supplementation of prethoracic skin coverage and creation of a stable, well-defined inframammary fold. Advantages include good match of skin color and texture, confinement of donor-site scarring to the relatively inconspicuous inframammary fold area, a more natural ptotic breast shape, and relative ease of performance.
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James J. Ryan (1982) studied this question.