Four chest flaps.

A modification of the deltopectoral flap is described, which allows for the use of the anterior oblique chest flap from the same side. The deltopectoral flap is extended laterally over the shoulder, but is modified to extend the inferior incision medially to, but not beyond, the vertical plane of the nipple. This modification does not limit the range of the deltopectoral flap but does allow for development of a second flap that is based on the same four perforating vessels. Two flaps served by the same base provide for four individual chest flaps for use in undelayed reconstruction. A bilobed chest flap can be utilized, undelayed, where the deltopectoral and oblique flaps are raised simultaneously from the same side.