SGAP 3

Age:                          54

Diagnosis:                Breast cancer

Radiation:                 Yes

Reconstruction:        Bilateral, staged SGAP flaps

Timing:                     Immediate

Flap placement:       Subcutaneous

Opposite breast:      Bilateral mastectomies, and bilateral SGAP flaps

Nipple:                      Local skin flaps and tattoo

Comment:                 This patient initially had a DIEP flap to the right breast. A local recurrence of the cancer necessitated its removal with SGAP flap reconstruction. The left breast was reconstructed with a second SGAP flap.