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Our patient describes her experience with Lumbar Artery Perforator flaps (LAP flaps). She had breast cancer treated with mastectomy 20 years prior. She underwent silicone implants at that time and presented with ruptured implants seeking an alternative approach. LAP flaps are a relatively new option for breast reconstruction. This flap is only offered at a handful of centers and even fewer have significant experience. Dr. Haddock has done hundreds of these and is a leader in the world on this flap option. She describes how her previous implants were cold and now she has natural, warm breast. She describes that the is happy with the shape of her breast as well as her lower back and buttock. She describes how she loves her body now and the compliments she now receives.