DIEP 17

Age:                          48

Diagnosis:                Breast cancer

Radiation:                 Yes

Reconstruction:        Bilateral DIEP flaps

Timing:                      Immediate

Flap placement:       Subcutaneous

Opposite breast:      Bilateral DIEP flaps

Nipple:                      Local skin flaps and tattoo

Comment:                In immediate reconstructions the incision for the mastectomy is placed around the periphery of the areola. The nipple-areola complex is replaced by a circle of abdominal skin derived from the DIEP flap. Later, the new nipple and areola are reconstructed within this circle, leaving almost no scarring