SGAP 4

Age:                          50

Diagnosis:                Breast cancer

Radiation:                 Yes

Reconstruction:        Right DIEP, later left SGAP flap

Timing:                      Delayed

Flap placement:       Subcutaneous

Opposite breast:      Staged bilateral mastectomies: left DIEP, right SGAP flap

Nipple:                      Local skin flaps and tattoo

Comment:                 Note the scars on both buttocks although only one SGAP flap was used. The second scar resulted from a ‘balancing’ excision