Multiple pregnancies following deep inferior epigastric perforator (DIEP) flap breast reconstruction

Pregnancy following abdominal flap-based breast reconstruction may cause stress to the abdominal wall. These changes may result in weakness and hernia or bulge. We present two patients who previously underwent unilateral deep inferior epigastric perforator (DIEP) flap breast reconstruction and became pregnant twice. Both patients maintained abdominal contour without bulges or hernias. Subjectively, patients reported minor changes to abdominal strength. Therefore, these two patients had minimal abdominal morbidity following pregnancy after unilateral DIEP flap reconstruction.