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:

Q&A: Ask the Doctor

Question:  I have had reconstruction after being diagnosed with breast cancer and having a double mastectomy. I have implants but did not finish with my reconstruction and one side looks deformed. Was wondering if the implants could be taken out and reconstruction...

Q&A: Ask the Doctor

Question: Dr. Kline,   I just watched the video on the gap surgery.  If a person had this, would the tummy tuck be involved?  I know it involves the buttocks, but does it extend to the stomach? I know I have enough tissue on my front, but it appears that the gap...

How can I avoid paying large out-of-network fees for breast reconstruction?

Without help from your insurance plan, having surgery can be expensive! Luckily, it’s possible to find qualified plastic surgeons to perform natural breast reconstruction without having to pay out-of-network fees.   Paying in-network fees for reconstruction...

Does insurance pay for breast reconstruction after mastectomy?

There are many factors to consider before having breast reconstruction, including cost and payment after surgery. Well, did you know that there are safeguards in place that allow you to have this procedure covered by your insurance? A central reason that insurance...

Q&A: Ask the Doctor

Question: While having Diep Flap Surgery, as the Surgeon is already working inside your abdomen, can he tighten the abdominal muscles at that time? Answer: Thank you for your question. Yes, it is possible to “tighten the muscles” of the tummy wall at the time of DIEP...