
Patient Details
47-year-old patient, 5'3" and 125 lbs, diagnosed with ductal carcinoma. She underwent bilateral skin-sparing, non–nipple-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 reconstruction approach utilized tissue from both the abdomen and upper thighs to restore breast volume and contour, while maintaining muscle preservation and achieving a natural appearance.