Figure 5b. b) The appearance of the breast after bilateral reconstruction with free TRAM flaps and reconstruction of the nipple areola complex. [Reproduced with the permission of Annals of Plastic Surgery: Kovacs L, et al: Clinical Outcome and Patients_ Satisfaction after Simultaneous bilateral Breast Reconstruction with free Transverse Rectus Abdominis Muscle (TRAM) flap. Ann Plast Surg 2004; 53(3):199-204].