Extended Chest Wall Based Flap and Lipofilling for Immediate Breast Reconstruction for Obese Patients

Increasing rates of obesity in the general population have coincided with increased rates of obese patients with breast cancer1. Breast reconstruction in the overweight population represents a challenge for the plastic surgeon. Multiple studies have shown very high complication rates for both prosthetic and autologous reconstruction in these patients. Obesity confers independent risk of perioperative medical and surgical morbidity in breast reconstruction population2.