Patients who do not have adequate abdominal fat to reconstruct both breasts can pose a challenging issue in breast reconstruction. Fortunately, options are available to deal with this problem. We can offer these patients Stacked Flaps or implants can be placed. Implants can also be used along with your tissue at the time of the reconstruction or in a delayed fashion after DIEP surgery. The choice between these procedures is made during the consultation with Dr. Sadeghi, and together with the patient, the appropriate surgery is selected.