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Tang et al. Plast Aesthet Res 2024;11:61 https://dx.doi.org/10.20517/2347-9264.2024.117 Page 13 of 15

Figure 11. Preoperative (top) and postoperative (bottom) photographs of a 53-year-old female who underwent delayed right breast
reconstruction and contralateral breast autologous augmentation with DIEP flaps. The left abdominal flap (1,020 g) was used to
reconstruct the right breast. The right abdominal flap (383 g) was used for autologous augmentation of the left breast.

mastopexy. Some patients also elect to pursue nipple reconstruction and tattooing.

CLINICAL OUTCOMES
Patients who have undergone unilateral autologous breast reconstruction with simultaneous contralateral
autologous augmentation report high levels of satisfaction with their breast, physical well-being, and sexual
well-being postoperatively based on BREAST-Q [4,10] . Though reports in the literature on this technique are
limited, complications seem to be similar to what would be expected for routine unilateral or bilateral breast
reconstructions with DIEP flaps [4,10] . Based on our experience with 14 patients who have undergone
unilateral breast reconstruction with contralateral augmentation with DIEP flaps, all flaps were successfully