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Patient selection for autologous tissue transfer for post-mastectomy breast reconstruction often utilizes BMI to risk stratify patients, though it only estimates fat content and does not address fat distribution. Jacob Dinis and his co-authors utilized pre-operative CT angiographies to develop a quick, repeatable measurement to estimate abdominal subcutaneous fat thickness and compared this to BMI as a predictor of complications in abdominally based autologous breast reconstruction. BMI was not correlated with overall occurrence of major complications or minor complications, further corroborating the safety of autologous breast reconstruction in the obese population. Abdominal subcutaneous fat thickness was found to be a significantly better predictor of fat necrosis than BMI was, which may aid in pre-operative counseling and intra-operative decision making. Abdominal Subcutaneous Fat Thickness As A Substitute For BMI In Predicting Complications In Abdominally-based Autologous Breast Reconstruction Jacob Dinis, BS @jacob_dinis; Alexandra Junn, AB @alexjunn; Rema Shah, BA; Omar Allam, BS; Sumarth Mehta, BS; Mohammad Ali Mozaffari, MD; Tomer Avraham, MD; Michael Alperovich, MD MSc @drmikealperovich. Section of Plastic and Reconstructive Surgery, Department of Surgery Yale University School of Medicine, New Haven, CT

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