Abstract: ‘Elderly’ Patient Is Not Equal to ‘Geriatric’ Patient - the People 90 Years or Older Who Visit Our Department of Plastic Surgery

With the patient remaining in a supine position throughout surgery, the left mastectomy with skin excision was performed. Planning in reverse, a fasciocutaneous flap from the contralateral breast based on the right 2nd internal mammary artery perforator was designed. The flap was raised in the mastectomy plane, isolated on the perforator, and transposed into the defect in a propeller fashion. The sternal skin bridge was excised to avoid tunnelling the flap. The donor site closed directly, no drains were used. As planned, the patient was discharged home on post-operative day 1, with only 1 dressing change required in clinic at 2 weeks.