
Patient Details
51-year-old patient, 5'0" and 126 lbs, diagnosed with left-sided ductal carcinoma in situ (DCIS). After two re-excisions with persistently positive margins, she proceeded with bilateral 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 utilized tissue from both the abdomen and upper thighs to restore breast volume and contour, while preserving muscle function and achieving a natural appearance.