example1

Example 1. This is a 17-year-old female with low BMI who underwent left breast reconstruction following dermatofibroma protuberans resection with a bipedicled/conjoined DIEP free flap to meet both skin deficit and breast volume requirements. Top Left: Preoperative photo. Note the left upper breast scar from the initial breast mass resection. Top Right: Postoperative photo. Bottom: Intraoperative photo showing the skin and volume deficit following a recent mastectomy with skin resection to obtain negative margins. BMI: body mass index; DIEP: deep inferior epigastric perforator.