Fig. 2.

Normal weight female patient (37 years, BMI 20.7 kg/m²) with positive BRCA mutation status and invasive ductal carcinoma on the right breast in the medical history. Salvage reconstruction of the right breast with TMG flap from the left thigh following implant failure after skin sparing mastectomy and immediate silicone implant reconstruction on both sides. Skin sparing mastectomy and immediate silicone implant reconstruction of the left breast. The patient had one refinement surgery on the left donor thigh to enhance the contour. Two procedures of lipofilling of the right TMG flap breast were performed, one combined with the refinement surgery of the donor thigh and one combined with the excision of the TMG skin island on the right breast. Postoperative view at 2.0-year follow-up. a Back view with concealed donor site scar in the natural crease of the left thigh. b Front view with natural symmetry of the thighs after unilateral TMG flap harvest with concealed donor site scar in the groin of the left donor thigh. c Flexed left donor thigh with inconspicuous scar in the groin. d Excellent shape with natural symmetry of both moderate size breasts following TMG flap reconstruction of the right breast and silicone implant reconstruction of the left breast