case_images: PMC10304431_01
case_images: Pre-operative drawings of the skin island of the DIEP flap and the selected left-side perforator, for immediate reconstruction following the planned right breast skin-sparing mastectomy.
case_images: ICRP_A_2197500_F0001_C.jpg
case_images: PMC10304431_01_ICRP_A_2197500_F0001_C.jpg
case_images: F0001
case_images: The patient had two pregnancies and a Body Mass Index of 28,2kg/m2 (Figure 1).
case_images: Post-operative view at 6 months following the immediate DIEP flap-based right breast reconstruction; a significant asymmetry is Present, as no symmetrisation surgery was performed on the left breast.
case_images: ICRP_A_2197500_F0002_C.jpg
case_images: PMC10304431_01_ICRP_A_2197500_F0002_C.jpg
case_images: F0002
case_images: As the patient did not wish to have any symmetrization procedure on her left healthy breast, a post-operative breast asymmetry was obviously expected (Figure 2).
case_images: Intraoperative view of the fat-augmented latissimus dorsi (FALD) flap after the fat injections into the LD flap, the left pectoralis major muscle, the mastectomy skin flaps and the de-epithelialized dermo-fatty pedicle of the lower breast pole.
case_images: ICRP_A_2197500_F0003_C.jpg
case_images: PMC10304431_01_ICRP_A_2197500_F0003_C.jpg
case_images: F0003
case_images: A myo-cutaneous latissimus dorsi (LD) flap with a skin island measuring 12 x 6 cm, was elevated and transposed to the anterior thorax through a sub-cutaneous axillary tunnel (Figure 3).
case_images: Post-operative result at 10-month follow-up after the left breast reconstruction, when additional lipofilling was Decided for better symmetry between the two reconstructed breasts (a); final post-operative result at 20-month follow-up after the second lipofilling session (b).
case_images: ICRP_A_2197500_F0004_C.jpg
case_images: PMC10304431_01_ICRP_A_2197500_F0004_C.jpg
case_images: F0004
case_images: Patient satisfaction was measured through the Breast-Q breast reconstruction module at twenty months (Figure 4) and revealed high scores regarding satisfaction with both breasts.