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In the ptotic patient and when the patient would like to have an autologous reconstruction, it is helpful to reconstruct the breast with an inverted-T skin pattern. The photograph demonstrates before and after breast reconstruction with a Deep Inferior Epigastric Artery Perforator Flap. The left breast underwent mastopexy reduction to set a new goal position to match. The right breast underwent mastectomy and reconstruction with a Deep Inferior Epigastric Artery perforator flap from the abdomen. 

The deep inferior epigastric artery perforator flap is termed an autologous reconstruction when the patient’s own tissues are used to reconstruct the breast. The abdominal tissue is soft, supple, and can more readily match the contralateral breast. An autologous tissue breast reconstruction can readily match a natural breast that does not have an implant in place.