case_images: PMC10279530_01
case_images: Preoperative view of the patient in an anterior view (middle) and laterally (left, right) demonstrating the adherent mesh graft scars on both sides
case_images: IPRS-12-01-g-001.jpg
case_images: PMC10279530_01_IPRS-12-01-g-001.jpg
case_images: F1
case_images: The patient presented with meshgraft scars on both sides of the ventral thorax (Figure 1 (Fig. 1)).
case_images: Preoperative view of the patient anterior and posterior: after previous abdominoplasty a DIEP flap was not possible, but there was substantial tissue on both thighs for breast reconstruction.
case_images: IPRS-12-01-g-002.jpg
case_images: PMC10279530_01_IPRS-12-01-g-002.jpg
case_images: F2
case_images: She presented with substantial tissue on both medial thighs, so we recommended an autologous reconstruction with a transverse upper gracilis (TUG) flap (Figure 2 (Fig. 2)).
case_images: Left: lateral incision during ALT flap raise, two perforators marked preoperatively. Right: demonstrating the undersurface of the ALT flap in the subfascial plane with forceps pointing on the pedicle.
case_images: IPRS-12-01-g-003.jpg
case_images: PMC10279530_01_IPRS-12-01-g-003.jpg
case_images: F3
case_images: A large septocutaneous perforator was proximally explored arising from the descending branch of the lateral femoral circumflex artery (Figure 3 (Fig. 3)).
case_images: Six months postoperatively: breast reconstruction with TUG flap (left breast) and ALT flap (right breast) in an anterior and lateral view. Donor site on both thighs in an anterior view (right).
case_images: IPRS-12-01-g-004.jpg
case_images: PMC10279530_01_IPRS-12-01-g-004.jpg
case_images: F4
case_images: TUG flap was removed, and lipofilling to achieve upper pole fullness in both neo-breasts was performed (Figure 4 (Fig. 4)). The patient is scheduled for the next lipofilling in three to six months.