Over the years, people have been exploring the best method of breast reconstruction, through the exploration of latissimus dorsi muscle flap, free and tipped TRAM flap, gluteus maximus muscle flap, and broad fascia tensor fasciae latae muscle flap for breast reconstruction, it was found that the best donor area for reconstructing breasts is still the transverse lower abdominal flap of a woman, due to the fact that most of the female patients have an excess of adipose tissue in the lower abdominal area, and using this area as a donor area for breast reconstruction can provide a rich supply of tissue. As most female patients have excess fat tissue in the lower abdomen, this area can provide abundant tissue for breast reconstruction, making the reconstructed breasts look natural and lifelike, and at the same time achieving the purpose of abdominoplasty weight loss. Transverse rectus abdominis myocutaneous flap has become the preferred method for breast reconstruction from autologous tissues. However, due to the damage to the rectus abdominis muscle, the integrity of the abdominal wall was damaged, and the abdominal wall became weak, and the postoperative period was often accompanied by complications such as limited abdominal muscle movement, abdominal wall hernia, and abdominal wall swelling. In 1989, Koshima reported for the first time the repair of multiple defects with a paraumbilical perforator flap of the inferior abdominal wall artery without the rectus abdominis muscle, and in 1994, Allen reported the successful application of a free DIEP flap for breast reconstruction. These approaches have gained widespread popularity because they preserve the integrity of the rectus abdominis muscle, thereby maintaining the strength of the abdominal wall and avoiding the complications mentioned above. The wide acceptance of such flaps reflects the pursuit of plastic surgery, where the ideal of modern plastic surgery should not only be able to repair defects or reconstruct perfectly shaped body surface organs, but more importantly to minimize trauma to the donor area, and even to improve the condition of the donor area at the same time. This is also one of the reasons why “perforator flap” has become a hot spot in international microsurgery research.