Summary: The combined use of a deep inferior epigastric perforator (DIEP) flap coupled with vascularized inguinal lymph nodes (VILNs) for simultaneous breast and lymphedema reconstruction has already been well established. and promising results have been reported. However. a standardized approach for the planning and shaping of this combined flap is still lacking. https://fitnessgravesyardes.shop/product-category/axleidler/