example5

Modern approaches to alternative flap-based breast reconstruction: stacked deep inferior epigastric perforator flaps

Example 5. Patient A’s bipedicled DIEP free flap. Independent pedicle anastomoses to the internal mammary vessels in an antegrade and retrograde fashion. DIE: Deep inferior epigastric; IMA: internal mammary artery; IMV: internal mammary vein; DIEP: deep inferior epigastric perforator.