example2

Example 2. This is a 66-year-old female with a history of right intraductal breast carcinoma for which she underwent lumpectomy and adjuvant radiation treatment that was complicated by contracture. She subsequently underwent right skin-sparing mastectomy with breast reconstruction using separated stacked DIEP free flaps. Separated stacked DIEP reconstruction was necessary to meet her large volume requirement. Four months later, she underwent a revision of her right breast with autologous fat grafting and left balancing augmentation mastopexy. Left: Preoperative photo. Right: Postoperative photo. DIEP: Deep inferior epigastric perforator.