Procedures: DIEP Flap

The DIEP flap is the most popular type of perforator flap reconstruction due to it’s high success rate and it’s ability to reconstruct the breast without the patient having to sacrifice much needed abdominal muscles.

DIEP Flap : Procedure Details

The principle behind all microsurgical breast reconstruction is similar; the tissue to be used for breast reconstruction is isolated on its blood supply, and with the assistance of a microscope, reconnected to blood vessels in the chest. The most common donor site is the abdomen, referred to as DIEP (deep inferior epigastric perforator) breast reconstruction. No muscles are sacrificed, no implants used and patients often refer to it as “natural” reconstruction in both feel and appearance. Sometimes, we can even reconnect nerves to give sensation to the reconstructed breast.

DIEP Flap Details:

Our refined technique provides all the necessary tissue to build a breast, without sacrificing the abdominal muscles in 100% of cases. In addition to reconstructing the breast, the contour of the abdomen is often improved – much like a tummy tuck.
It starts with an incision along the bikini line similar to a tummy tuck incision. Surgeons remove the necessary skin, soft tissue, and tiny feeding blood vessels. The blood vessels are matched to supplying vessels at the mastectomy site and reattached under a microscope. Tissue is then transformed into a new breast mound.
Our refined technique provides all the necessary tissue to build a breast, without removing the abdominal muscles. In addition to reconstructing the breast, the contour of the abdomen is often improved – much like a tummy tuck.
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Want More Information? Read “Ask the Doctor” Blog Series Below:

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Q: I have a high BMI, but no diabetes, no high cholesterol, no weight-related illnesses and I exercise six days a week and do two days of strength training. My diet is all vegetarian and mostly plant-based. Would there be a consideration for DIEP with a BMI of over 35...

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