Ruben's fat pad for breast reconstruction: a peri-iliac soft-tissue free flap

We present a single patient with a successful breast reconstruction using the peri-iliac fat pad as a free flap based on the deep circumflex iliac artery and vein. Although the follow-up is short, in this patient the donor site has been acceptable, and we believe that this flap will have a place in the selection of donor sites for autogenous tissue breast reconstruction.