A Breast Reduction Technique for the Free DIEP Flap Post Breast Reconstruction

Summary: Breast flap remodeling is a common procedure after breast reconstruction. We present a unique approach to breast reduction using a superomedial pedicle inverted “T” technique in patients with previous free deep inferior epigastric perforator (DIEP) flap breast reconstruction, not previously reported. Breast reduction can be a valid option for reshaping breasts after free DIEP flap reconstruction. Breast reduction using the superomedial pedicle inverted T technique is performed in patients who have undergone free DIEP flap breast reconstruction. The superomedial pedicle inverted T breast reduction technique in breast reconstruction with free DIEP flaps seems promising, as the reduced DIEP flaps survived. The superomedial pedicle inverted T breast reduction technique in breast reconstruction with free DIEP flaps offers a good option for secondary breast reshaping. Preservation of the pedicle and blood supply are potential advantages. However, the limited evidence and surgical expertise needed are important considerations. This technique shows promise for breast reductions after free DIEP flap breast reconstruction.