case_images: PMC6554701_01
case_images: Intraoperative image showing fat tissue suction from zone IV in the DIEP flap using the wet technique with a 3-mm cannula and a 20-mL Luer-Lok syringe. DIEP indicates deep inferior epigastric artery perforator.
case_images: eplasty19ic14_fig1.jpg
case_images: PMC6554701_01_eplasty19ic14_fig1.jpg
case_images: F1
case_images: IV in the DIEP flap. In the procedure, fat tissue was harvested from zone IV in the DIEP flap using the wet technique with a 3-mm cannula and a 20-mL Luer-Lok syringe under manually generated negative pressure (Fig 1).
case_images: Intraoperative image showing additional fat grafting in the pectoralis major muscle.
case_images: eplasty19ic14_fig2.jpg
case_images: PMC6554701_01_eplasty19ic14_fig2.jpg
case_images: F2
case_images: Fat injections were performed along the muscular fascicle of the pectoralis major in the subcutaneous tissue, if possible into the subcutaneous layer (Fig 2).
case_images: Postoperative image of the patient 1 year after left breast skin-sparing mastectomy and DIEP flap reconstruction combined with fat grafting with harvesting from zone IV in the DIEP flap. DIEP indicates deep inferior epigastric artery perforator.
case_images: eplasty19ic14_fig3.jpg
case_images: PMC6554701_01_eplasty19ic14_fig3.jpg
case_images: F3
case_images: The patient was highly satisfied with the cosmetic results (Fig 3).