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Updated: Jan 27, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
Published on: December 5, 2025
The Pyramidal Flap: an Innovative Technique for DIEP Flap Refinement
M Elena Leache1, Jose Ángel Lozano1, Carlos G Rubi1
1Department of Plastic and Reconstructive Surgery, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain.
Abstract:
DIEP flap is considered the gold standard technique for breast reconstruction. One of the most frequent contour deformities after breast reconstruction with DIEP flap is a step-off deformity at the interface between the native chest wall and the reconstructed breast. Different techniques have been used to address this problem. We describe the pyramidal flap as a simple, single stage and low risk procedure, which specifically corrects the step-off or tapering deformity of the reconstructed breast with DIEP flap.
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