Phase 2 & 3 DIEP procedure insights for Charleston patients.DIEP flap breast reconstruction surgery is a sophisticated procedure that uses the patient's own abdominal skin and fat to reconstruct a natural-looking breast after mastectomy. For one reason or another, some women come to us for the subsequent stages or “finishing” work after having their initial DIEP elsewhere..

At The Center For Natural Breast Reconstruction, we are dedicated to providing exceptional care and expertise for all patients, regardless of their previous surgical experience. Whether you are just starting your journey or seeking revision surgery, we encourage you to schedule a consultation with us to learn more about the DIEP procedure and how it can benefit you.

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Understanding the DIEP Flap Procedure

DIEP flap surgery is a type of breast reconstruction that uses a patient's own abdominal skin and fat to create a new breast mound without sacrificing muscle. This procedure is highly advanced as it involves transferring skin and fat from the lower abdomen to the chest while meticulously reconnecting blood vessels to ensure proper blood flow. Unlike implant reconstruction, DIEP flap surgery utilizes natural tissue, which can result in a more natural look and feel.

There are a number of benefits to choosing DIEP flap reconstruction surgery over other options. Since the procedure uses your own tissue, there is no risk of complications related to implants, such as rupture or capsular contracture. Additionally, the reconstructed breast tends to age naturally and maintain its shape better over time. For many women recovering from breast cancer, a more natural reconstruction option can be emotionally comforting and physically satisfying.

Obtaining the best possible outcome often requires multiple procedures. These stages allow for gradual refinement, ensuring optimal symmetry and appearance. Patients undergoing DIEP flap surgery should be prepared for follow-up procedures to perfect the reconstructed breast and donor site areas.

Phase 1: The First Procedure

The initial DIEP flap surgery is the most intricate and time-consuming phase.  This stage involves meticulously transferring skin and fat from the abdominal area to create a new breast mound.  Depending on the individual's unique case, this procedure can take 4 to 7 hours to complete.

Once released from the hospital, DIEP flap patients will experience some swelling, bruising, and discomfort, which gradually subsides. Your surgeon will also place surgical drains to help remove excess fluid and reduce the risk of complications. These drains are typically removed a week or two after surgery.

As healing progresses, the appearance of scar tissue will improve, though some scarring is inevitable. Your medical team will evaluate the final results during follow-up appointments, focusing on the symmetry, shape, and overall look of the reconstructed breast and donor site. Whether you've had this surgery done elsewhere or with us, our surgeons will discuss the best next steps for your particular situation. The stages to follow are crucial for fine-tuning the results and ensuring that you feel confident and satisfied with your reconstruction.

Phase 2: The 'Revision' Stage

The second phase of DIEP flap reconstruction is commonly referred to as the 'revision' stage. Prior to surgery, your surgeon will carefully evaluate and prepare for any necessary adjustments. This may include removing excess scar tissue or repairing any asymmetries from the initial procedure.

During surgery, the existing reconstructed breast mounds and donor site will be revised and refined. The length and complexity of this stage is much shorter than the initial procedure, allowing for a smoother recovery process.

Phase 3: Final Adjustments & Recovery

During phase 3, the focus is on final adjustments and recovery to ensure the best possible outcome. This stage often involves follow-up procedures such as fat grafting, which helps to refine the shape of the breast mounds and achieve a more natural contour. Fat grafting involves taking small amounts of fat from other parts of the body and grafting it into the reconstructed breast to enhance volume and smooth out any irregularities.

As you recover from DIEP flap reconstruction surgery, it's essential to manage expectations and understand the timeline. Full recovery can take several months, during which your body will continue to heal and adjust.  Our team at The Center For Natural Breast Reconstruction will provide you with detailed aftercare instructions and support to help you through the recovery process.

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While the initial flap transfer is obviously the 'big procedure,' the subsequent procedures are absolutely essential to getting the results for most patients to feel confident and pain-free. At The Center For Natural Breast Reconstruction, we prioritize your well-being and satisfaction through each stage of the reconstruction process, paying close attention to the intricate details that make a difference.

Whether you're considering DIEP flap reconstruction for the first time or seeking revision surgery, our experienced surgeons can guide you through the process and help you achieve your desired outcome. We encourage you to take the next step and join the many patients who have trusted our experienced surgeons to help them achieve their desired outcomes and regain their confidence.

Schedule your consultation today and take the next step towards reclaiming your confidence and restoring your breasts with your own warm, soft, natural tissue.  We look forward to seeing you!

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