Bilateral deep inferior epigastric perforator flaps based on unilateral perforators

This report highlights the case of an unusual bilateral breast reconstruction using bilateral Deep Inferior Epigastric Perforator flaps based solely upon unilateral perforators. The usual lower paramedian perforating vessels were absent on one side and subsequently the main abdominal flap was split obliquely (rather than midline) to base both individual flaps on perforators arising from the same side. The operation was a success with no flap complications post-operatively.