The Single Dominant Medial Row Perforator DIEP Flap in Breast Reconstruction: Three-Dimensional Perforasome and Clinical Results

Abstract

The single dominant medial row perforator has a maximal vascularity in zones I and II, and less in zones III an IV. The authors recommend that half of zone III and all of zone IV be discarded to avoid the risks of partial flap loss and fat necrosis.