The lipofilled mini dorsi flap technique is an interesting solution for immediate breast reconstruction. This technique is an efficient, quick, elegant and less invasive solution that is easier to perform, with excelente long-term results for immediate breast reconstruction procedures after mastectomy in a single operation. Lipofilling improves the flap volume associated with a natural breast appearance, therefore, reducing the latissimus dorsi dissection to a small anterior muscle portion. Postoperative follow-up is simpler and better tolerated than after the traditional extended latissimus dorsi flap technique. It is also a good strategy for elderly patients or even younger patients who do not want contralateral breast surgery or breast reconstruction with implants or tissue expanders.