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Page 8 of 10 Tuinder et al. Plast Aesthet Res 2024;11:38 https://dx.doi.org/10.20517/2347-9264.2024.40

Figure 4. Postoperative results after a bilateral, tertiary breast reconstruction with a lateral thigh perforator (LTP) flap: (A) preoperative
photo with implant-based breast reconstruction; (B) postoperative photo with bilateral, tertiary LTP flap breast reconstruction; (C)
postoperative results of lateral thigh scar at the left-sided donor site after bilateral LTP flap breast reconstruction; (D) postoperative
results of lateral thigh scar at the right-sided donor site after bilateral LTP flap breast reconstruction. Postoperative photographs were
taken 3.5 years postoperatively.

6. Quilting sutures at the donor site are paramount to reduce the risk of seroma formation and wound
dehiscence.

7. A sensate LTP flap can be achieved by including a branch of the LFCN or a branch of the anterior
cutaneous branch of the femoral nerve from the donor site and coapting it to the anterior cutaneous branch
of the third intercostal nerve in proximity to the internal mammary vessels at the recipient site.