Flap neovascularisation is generally believed to make free skin-containing flaps independent of their axial pedicle blood supply. A case of DIEP-flap failure 3 years after transfer is presented in a breast reconstruction patient in whom a lateral breast reduction for symmetry improvement was performed. Causative factors in this patient were the division of the flap pedicle during lateral breast reduction and smoking in the postoperative period. A review of literature is presented and highlights the uniqueness of this case.

DIEP-flap, Flap failure, Neovascularisation, Smoking
dx.doi.org/10.1016/j.bjps.2005.04.040, hdl.handle.net/1765/65119
British Journal of Plastic Surgery
Department of Plastic and Reconstructive Surgery

Moolenburgh, S.E, van Huizum, M.A, & Hofer, S.O.P. (2005). DIEP-flap failure after pedicle division three years following transfer. British Journal of Plastic Surgery (Vol. 58, pp. 1000–1003). doi:10.1016/j.bjps.2005.04.040