Fig. 3.

Representative images from each of the four groups. Please note that the panel assessed moving three-dimensional images not the two-dimensional images shown here. (Above, left) Patient with a score of 8.5 from group A: skin-sparing mastectomy with immediate DIEP flap reconstruction without postmastectomy radiotherapy (median score, 8). (Above, right) Patient with a score of 7.25 from group B: skin-sparing mastectomy with immediate DIEP flap reconstruction and postmastectomy radiotherapy (median score, 7.3). (Below, left) Patient with a score of 7.0 from group C: simple mastectomy (no skin preservation), postmastectomy radiotherapy, and delayed DIEP flap reconstruction (median score, 7.3). (Below, right) Patient with a score of 7.75 from group D: skin-sparing mastectomy and preservation of skin flaps with temporizing implant, postmastectomy radiotherapy, and later DIEP reconstruction (median score, 7.8).