Fig. 4

a, b A 47-year-old patient with left breast cancer is shown with preoperative markings for a left nipple-areolar complex-sparing mastectomy and contralateral pedicled transverse rectus abdominis musculocutaneous (TRAM) flap reconstruction using the proposed method. c, d Her postoperative results at 17 months show the natural upper-pole contour of the left reconstructed breast. e, f A 45-year-old patient with left breast cancer is shown with preoperative markings for a left skin-sparing mastectomy and contralateral pedicled TRAM flap reconstruction using the proposed method. g, h Her postoperative results at 19 months (before nipple reconstruction) show the natural upper-pole contour of the left reconstructed breast