Fig. 3.

Overweight female patient (51 years, BMI 29.8 kg/m²) with positive BRCA mutation status and ductal carcinoma in situ on the right breast and invasive ductal carcinoma on the left breast in the medical history. Bilateral skin-sparing mastectomy and immediate TMG flap breast reconstruction in two separate surgeries after successful breast cancer therapy. The patient had one procedure of lipofilling per breast. Postoperative view at 5.2-year follow-up. a Front view with natural symmetry of both reconstructed large size breasts following TMG flap breast reconstruction. Inconspicuous skin color of the TMG skin islands on both reconstructed breasts. Concealed donor site scars in the groin of both donor thighs. b Back view with concealed donor-site scars in the natural crease. c Left donor thigh with inconspicuous scar in the groin. d Right donor thigh with inconspicuous scar in the groin