PMC6554701_01
Intraoperative image showing fat tissue suction from zone IV in the DIEP flap using the wet technique with a 3-mm cannula and a 20-mL Luer-Lok syringe. DIEP indicates deep inferior epigastric artery perforator.
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F1
IV in the DIEP flap. In the procedure, fat tissue was harvested from zone IV in the DIEP flap using the wet technique with a 3-mm cannula and a 20-mL Luer-Lok syringe under manually generated negative pressure (Fig 1).
Intraoperative image showing additional fat grafting in the pectoralis major muscle.
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F2
Fat injections were performed along the muscular fascicle of the pectoralis major in the subcutaneous tissue, if possible into the subcutaneous layer (Fig 2).
Postoperative image of the patient 1 year after left breast skin-sparing mastectomy and DIEP flap reconstruction combined with fat grafting with harvesting from zone IV in the DIEP flap. DIEP indicates deep inferior epigastric artery perforator.
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F3
The patient was highly satisfied with the cosmetic results (Fig 3).