Simultaneous Circumferential Body Lift and Four-Flap Breast Reconstruction Using Deep Inferior Epigastric Perforator and Lumbar Artery Perforator Flaps

Summary: The ideal autologous breast reconstruction provides a long-lasting and aesthetically pleasing result. The deep inferior epigastric perforator (DIEP) flap remains the gold standard for breast reconstruction; however, in a subset of patients, this flap may not provide adequate soft tissue to achieve the patient’s aesthetic goals. The lumbar artery perforator flap has emerged as a useful adjunct to the DIEP flap for four-flap breast...