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Garoosi et al. Plast Aesthet Res 2024;11:42 https://dx.doi.org/10.20517/2347-9264.2024.57 Page 15 of 17

CONCLUSION
In conclusion, the advancement of stacked flap breast reconstruction, particularly the stacked DIEP free
flaps, represents a remarkable milestone in the field of autologous breast reconstruction. This technique
embodies the culmination of years of surgical innovation, patient-centered care, and a dedication to
improving the quality of life for those undergoing mastectomy. The ability to provide natural-looking,
substantial breast mounds using the patient’s own tissue has not only enhanced the aesthetic outcomes but
also bolstered the psychological well-being of patients, contributing to a more holistic approach to breast
cancer recovery.

As we look toward the future, it is imperative to continue refining these techniques, further reducing the
risks and complications associated with such complex procedures. The ongoing research and development
in microsurgical methods, preoperative planning, and postoperative care are essential to augment the
success rates of stacked flap breast reconstructions. In addition, the emphasis on patient education,
informed consent, and personalized care plans will remain central to achieving the best possible outcomes.

The journey of breast reconstruction has evolved from simple beginnings to sophisticated, patient-tailored
procedures like the stacked DIEP flap. This evolution not only highlights the advancements in medical
science and surgical skills, but also underscores the importance of understanding patient needs and
expectations. As we move forward, the commitment to improving these reconstructive options will
undoubtedly continue, offering hope and renewed confidence to countless individuals embarking on their
journey of recovery and rejuvenation after breast cancer.

DECLARATIONS
Authors’ contributions
Conceptualization, visualization, writing, review and editing, and project administration of the draft:
Garoosi K
Conceptualization, visualization, and writing (review and editing): Kelson K
Visualization and writing (review and editing): Winocour J, Mathes D
Conceptualization, supervision, and writing (review and editing): Kaoutzanis C
All authors approved the final draft.

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
All authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
Consent was obtained from all patients included in this publication.

Consent for publication
Consent was obtained from all patients included in this publication.