
Patient Details
46-year-old patient, 5'3" and 165 lbs, diagnosed with left-sided breast carcinoma and treated with chemotherapy. She underwent bilateral skin-sparing mastectomies followed by immediate autologous breast reconstruction using a stacked DIEP (deep inferior epigastric perforator) and PAP (profunda artery perforator) flap technique.
This 4-flap approach allowed for adequate volume and contour restoration using tissue from both the abdomen and upper thighs, while preserving muscle function and supporting a natural breast appearance.