Chylous leak after immediate mastectomy, axillary clearance and breast reconstruction by DIEP. (A) Clinical appearance of reconstruction at day 3 postop after left mastectomy, axillary node clearance and immediate DIEP reconstruction. Flap shows moderate edema and vague signs of redness; (B) drainage of chyle after left mastectomy, axillary node clearance and immediate DIEP reconstruction; (C,D) comparative pictures showing preoperative status and final postoperative outcome after neoadjuvant radiotherapy at 6 months follow-up. DIEP, deep inferior epigastric perforator.