{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T04:33:35Z","timestamp":1791520415327,"version":"4.3.4"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T00:00:00Z","timestamp":1733097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T00:00:00Z","timestamp":1733097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006390","name":"University of Lausanne","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006390","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aesth Plast Surg"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction<\/jats:title>\n            <jats:p>In microvascular breast reconstruction, the focus has shifted to achieving aesthetically pleasing results. Delayed breast reconstruction poses challenges such as ensuring natural ptosis and avoiding a \u201cpatch\u201d effect. The Be.A.U.T-I.F.U.L. deep inferior epigastric perforator (DIEP) flap inset, presented here, offers a systematic and sequential seven-step method to optimize breast reconstruction outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This approach emphasizes safety during flap harvest using the best (Be.) perforator identified via computed tomography angiography to minimize dissection and ensure solid perfusion. The flap is placed obliquely, directing its tail to the axilla (A.), enhancing upper (U.) pole volume and ptosis. The flap base is tucked-in (T-I.) to increase the projection of the breast mound, and its lateral portion is split as a fishtail (F.): the upper (U.) fin is used to define the lateral inframammary fold and prevent lateral displacement of the reconstructed breast, while the lower (L.) fin is turned under the flap to further improve projection.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>This structured approach, focusing on key breast aesthetics, ensures optimal cosmetic outcomes and can serve for most delayed microsurgical breast reconstruction scenarios.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence IV<\/jats:title>\n            <jats:p>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/www.springer.com\/00266\" ext-link-type=\"uri\">www.springer.com\/00266<\/jats:ext-link>.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00266-024-04502-3","type":"journal-article","created":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T18:40:35Z","timestamp":1733164835000},"page":"1959-1962","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Maximizing Aesthetic Outcomes in Delayed Breast Reconstruction: the Be.A.U.T-I.F.U.L. DIEP\u00ae Step-by-Step Inset Technique"],"prefix":"10.1007","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8910-6586","authenticated-orcid":false,"given":"Marco","family":"Morelli Coppola","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7230-4984","authenticated-orcid":false,"given":"Clara","family":"Schaffer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8787-8753","authenticated-orcid":false,"given":"Giulio Jad","family":"Jaber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2716-8607","authenticated-orcid":false,"given":"Gianluca","family":"Sapino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1431-4479","authenticated-orcid":false,"given":"Pietro Giovanni","family":"di Summa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,12,2]]},"reference":[{"issue":"2","key":"4502_CR1","doi-asserted-by":"publisher","first-page":"362e","DOI":"10.1097\/PRS.0000000000003538","volume":"140","author":"M Barone","year":"2017","unstructured":"Barone M, Cogliandro A, Morelli Coppola M, Persichetti P (2017) The importance of patient satisfaction: a blessing, a curse, or simply irrelevant? 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None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study did not involve animals. All procedures performed involving human participants were in accordance with the ethical standards of the institution and with the 1964 Helsinki Declaration and its later amendments. The Institutional Review Board approval for data collection was obtained.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Standards"}},{"value":"All participants gave written informed consent.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}}]}}