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DIEP Flap Breast Reconstruction

Understanding DIEP Flap Breast Reconstruction: What Every Woman Should Know

Written by Breast Reconstruction Associates on . Posted in Breast Reconstruction, DIEP Flap Reconstruction, Patient Education. No Comments on Understanding DIEP Flap Breast Reconstruction: What Every Woman Should Know

Breast cancer is a journey no one asks to take, but for many women, it’s a path of resilience, strength, and ultimately, healing. After a mastectomy, one important decision is whether and how to reconstruct your breast(s). Among the many options, the DIEP flap procedure stands out as a highly advanced and natural choice for breast reconstruction. But what is it, and why do so many women choose this approach? Let’s dive in.

What is the DIEP Flap Procedure?

DIEP stands for Deep Inferior Epigastric Perforator, a technical term for specific blood vessels in your abdomen. In this procedure:

  • Your Own Tissue is Used: Skin and fat are taken from your lower belly (much like a “tummy tuck”) to reconstruct the breast.
  • No Muscle is Taken: Unlike older techniques, the DIEP flap spares your abdominal muscles, reducing recovery time and preserving your core strength.
  • Microsurgery is Key: Surgeons reconnect tiny blood vessels to ensure the transferred tissue has a healthy blood supply.

The result? A reconstructed breast that looks and feels natural, made entirely from your body’s own tissue.

Why Choose the DIEP Flap?

Here’s why this procedure has become the gold standard for many women:

  1. Natural Results: Because your own tissue is used, the reconstructed breast has a natural look and feel.
  2. Permanent Solution: Unlike implants, which may need to be replaced over time, a DIEP flap reconstruction lasts a lifetime.
  3. Dual Benefits: The procedure also contours your abdomen, giving you a flatter stomach—an added confidence boost.
  4. Improved Healing and Recovery: Sparing the abdominal muscles minimizes post-surgery pain and lowers the risk of long-term weakness or hernias.

Who is a Candidate for DIEP Flap Reconstruction?

Most women who have enough tissue in their abdomen to create a breast mound are candidates for this procedure. It’s especially ideal if:

  • You want a natural reconstruction without implants.
  • You’re seeking a permanent solution.
  • You’re in good general health and can safely undergo surgery.

Your surgeon will work with you to determine if the DIEP flap is the best option for your unique needs.

What Makes Us Different?

At Texas Center for Breast Reconstruction, our team specializes in advanced microsurgical breast reconstruction, with expertise that few centers can match:

  • Extensive Experience: With nearly 2,000 successful cases and over 600 procedures annually, our surgeons have the skill and knowledge to handle even the most complex reconstructions.
  • Personalized Care: We know every woman’s journey is different, and we’re committed to tailoring your reconstruction to your goals and body.
  • State-of-the-Art Techniques: By using the latest technology and a team approach, we ensure the best outcomes for every patient.

What to Expect During Your Journey

  1. Consultation: We’ll discuss your medical history, goals, and options to create a personalized treatment plan.
  2. Surgery: The procedure typically takes 6–8 hours, with a hospital stay of 1–2 days.
  3. Recovery: Most women return to normal activities within 6–8 weeks. Our team is here to support you every step of the way.

Final Thoughts

Choosing breast reconstruction is a deeply personal decision, and it’s okay to take your time exploring your options. The DIEP flap procedure is a natural, lasting choice that has helped thousands of women feel whole again after breast cancer.

If you’re considering reconstruction or just want to learn more, we’re here to help. We combine world-class expertise with compassionate care to guide you through this important part of your healing journey.

Surgeons in an operating room looking at a patient during surgery.

Understanding Common Plastic Surgery Risks: What Every Patient Should Know

Written by Breast Reconstruction Associates on . Posted in Breast Reconstruction, Patient Education. No Comments on Understanding Common Plastic Surgery Risks: What Every Patient Should Know

Undergoing breast surgery, whether for medical or aesthetic reasons, is a significant decision that requires careful consideration of potential risks. At Breast Reconstruction Associates, we prioritize patient education, ensuring you are well-informed about both the benefits and possible complications associated with your procedure.

General Surgical Risks

All surgical procedures carry inherent risks, including:

  • Bleeding: Excessive bleeding during or after surgery may necessitate additional interventions.
  • Infection: Despite sterile techniques, infections can occur at the surgical site, potentially requiring antibiotics or further treatment.
  • Blood Clots: Formation of clots, particularly in the legs (deep vein thrombosis), can pose serious health risks if they travel to the lungs.
  • Anesthesia Reactions: Adverse responses to anesthesia, though rare, can range from mild to severe.

Specific Risks Associated with Breast Surgery

Beyond general risks, breast surgeries have particular considerations:

  • Fluid Collections: Accumulation of fluid (seroma) or blood (hematoma) between the skin and underlying tissues can occur post-surgery. Drains are often placed to prevent this; however, if fluid accumulates after drain removal, additional procedures may be necessary to remove it.
  • Changes in Sensation: Altered sensation in the nipple, areola, and surrounding skin is common. The extent varies based on the surgical technique and individual healing processes.
  • Nipple-Areola Complex Loss: In procedures aiming to preserve the nipple and areola, there’s a risk of reduced blood supply leading to tissue death (necrosis), which may require further intervention.
  • Mastectomy Flap Necrosis: The remaining breast skin post-mastectomy might experience healing challenges due to insufficient blood supply, leading to tissue death. Factors increasing this risk include larger breast size, tobacco use, and prior radiation therapy.
  • Delayed Wound Healing: Wound separation or slow healing may occur, potentially necessitating daily wound care or additional surgeries.
  • Microvascular Thrombosis: In autologous breast reconstruction, there’s a risk of blood clots forming in the vessels supplying the transplanted tissue (flap), typically within the first 24-48 hours post-surgery. This complication may require immediate surgical intervention to salvage the tissue.
  • Reconstruction Failure: Regardless of the reconstruction method—implants, DIEP flap, or other techniques—there’s a possibility of failure, resulting in a flat chest wall. While uncommon in properly selected patients, alternative reconstruction methods would be considered if this occurs.

Mitigating Risks

To minimize these risks, it’s crucial to:

  • Choose an Experienced Surgeon: Select a board-certified plastic surgeon with specialized expertise in breast reconstruction.
  • Follow Pre- and Post-Operative Instructions: Adhere strictly to your surgeon’s guidelines to promote optimal healing.
  • Maintain Open Communication: Discuss any concerns or pre-existing conditions with your healthcare team to tailor the surgical plan to your needs.

At Breast Reconstruction Associates, we are dedicated to guiding you through your surgical journey. We help you weigh the risks and benefits to make informed decisions about your care. For more detailed information, please call our offices.