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I'm Doctor Sean Boutros. I'm a plastic surgeon in Houston Texas at myHoustonSurgeons, and I'm Doctor Joseph Diane. I'm a plastic surgeon at the Institute for Advanced Reconstruction. The All Me Augmentation is a unique approach to breast augmentation where we're basically doing a DIEP flap from the abdomen and using it to augment the breast. The considerations that you have to think about when doing an All Me Augmentation are exactly what you would think about for a DIEP flap for breast cancer reconstruction. We have to think about recipient and donor vessels in the chest. We specifically want to approach lower blood vessels in order to preserve the sensation and the vascularity of the nipple are complex especially if needle pedicles being used, and ultimately just as a consideration that you would have for doing a tummy tuck you want a patient who would benefit from from a doing a tummy tuck so for an All Me Augmentation. I think Doctor Boutros has a great general guideline that if the belly button is vertical if it's high probably not the best candidate, but if that belly button is horizontal if there's skin laxity that would give them a net benefit in their abdomen they would be a good candidate and better to use that than an implant than throw it out.