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DISCUSSION: When the patient requires or prefers to have an autologous breast reconstruction, the stacked LTP flap should be considered an effective and viable option if the patient’s body habitus consists of excess lateral hip adiposity. The LTP flap has an anatomically reliable vascular supply that allows for a straightforward dissection, provides adequate volume and shape, and decreases operative time as 3 surgical teams can work simultaneously. The addition of the stacked LTP flap to the perforator flap collection allows the reconstructive surgeon to tailor breast reconstruction to the patient while focusing on body habitus and minimizing donor site deformity.

Abstract: Laser-Assisted Indocyanine Green Angiography Reduces Fat Necrosis in DIEP Flap Breast Reconstruction