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(a) Preoperative: 43 years old, otherwise healthy patient received a bilateral prophylactic nipple-sparing mastectomy and immediate reconstruction with DIEP-flap (ERAS-group). (b) Postoperative: Patient 6 weeks after surgery. No monitor island was placed, small nipple necrosis on the right side was treated conservatively. Operation time 348 min; ischemia time 37 min right, 44 min left; 2.0 mm coupler right, 2.5 mm left; flap weight 290 g right, 285 g left; length of stay 5 days.
