Fig. 2.

The deepithelialized inferior mastectomy flap and LICAP flap are shown here in continuity. The LICAP flap is turned 180 degrees on its pivot point near the anterior border of the latissimus dorsi muscle and imbricated on itself, centered in the meridian of the breast, secured to the pectoralis muscle to reconstruct a breast mound. The inferior mastectomy flap is then brought over the LICAP flap to provide additional volume and projection. The medial and lateral Wise flaps are then brought down to the inframammary fold in the meridian over the reconstructed breast mound with the intervening tissue between the medial and lateral vertical limbs providing even more projection. After confirmation of a negative subareolar biopsy, the nipple areola complexes are grafted into position.