Plastic correction of thoracic wall burns with reference to the female breast

: Neck and shoulder contractures, large scars of the thoracic wall and breast defects require plastic surgery. If possible, local flaps are the best solution for contractures, eventually enlarged by skin expanders. Full thickness skin grafts, Z-plasties and simple excisions with primary wound closure are alternative methods. For breast reconstruction early skin grafts or secondary local flaps are used. Myocutaneous flaps from the latissimus dorsi or rectus abdominis are seldom indicated.