The photographs included on this page are the results of reconstructive procedures performed by the surgeons at the Center for Restorative Breast Surgery. A DIEP flap is similar to a muscle-sparing free TRAM flap, except that no muscle is used to rebuild the breast. (A muscle-sparing free TRAM flap uses a small amount of muscle. What Is DIEP Flap Reconstruction Surgery? For DIEP flap surgery, doctors take tissues from your belly to remake a breast. Using your own tissue usually creates more natural results because the new.. DIEP (deep inferior epigastric perforators) flap surgery is a cutting-edge breast reconstruction procedure that uses a flap of complete tissue - blood vessels (perforators), skin and fat - from a woman's lower abdomen as donor tissue During DIEP flap surgery, an incision is made along your bikini line and a portion of skin, fat, and blood vessels is taken from the lower half of your belly, moved up to your chest, and formed into a breast shape. No muscle should be moved or cut in a DIEP flap
DIEP flap reconstruction is a complex microsurgical procedure that requires a stay in the hospital. The DIEP flap reconstruction process requires specialized training in a field of medicine called.. A DIEP flap reconstruction is a major surgery that takes place under general anesthesia. Your surgeon will begin by making an incision across your lower abdomen. Then, they will loosen and remove a.. DIEP flap breast reconstruction is typically comprised of at least two stages for the best outcomes. The second stage of surgery is commonly referred to as the revision stage and is usually performed about three months after the initial reconstruction To perform a DIEP flap procedure surgeons use skin and fatty tissue from the lower abdomen to reconstruct a breast, leaving the abdominal muscle intact. Some women know this as a tummy tuck donor site procedure because the removal of some skin and fat tissue in the lower abdomen
Find before and after photos of DIEP (deep inferior epigastric perforators) flap breast reconstruction surgery at Brigham and Women's Hospital. skip to Cookie Notice Skip to contents Your health and safety remain our top priority: Learn about our Safe Care Commitment | Use our Prescreen app before arrival for faster entry | Read the COVID-19. Breast reconstruction with flap surgery is a complex procedure performed by a plastic surgeon. Much of the breast reconstruction using your body's own tissue can be accomplished at the time of your mastectomy (immediate reconstruction), though sometimes it can be done as a separate procedure later (delayed reconstruction) The DIEP flap breast reconstruction is today's most advanced form of breast reconstruction. The procedure uses the patient's lower abdominal skin and fat to reconstruct a breast after mastectomy but unlike the TRAM flap procedure, preserves all the abdominal muscles. Benefits of the DIEP flap procedure over implant reconstruction include
The DIEP flap technique is a method of autologous breast reconstruction, meaning your own tissue is used to reconstruct one or both of your breasts. This muscle-sparing technique offers women natural, long-lasting results without the use of breast implants
The DIEP flap is most commonly used for breast reconstruction following mastectomy for treatment of breast cancer, or risk reduction in patients with a genetic increased risk of breast cancer such as BRCA 1 or 2 gene mutations It has almost been two years since my last reconstructive surgery, the DIEP flap, where stomach tissue is transplanted from the abdomen (hello, tummy tuck?) to the breasts, creating new reconstructed breasts out of your own tissue.. While I've come out on the other side of my healing process, there are so many things I learned on the way that could be useful if you're considering the. This patient previously underwent a right mastectomy and right implant breast reconstruction (done by another provider). She had a deficiency of right breast skin and an unsatisfactory result of implant reconstruction. The implant was removed and replaced with right Stacked DIEP flaps and a left breast mastopexy (breast lift) for symmetry Special Wound Care Instructions for Autologous Reconstruction Procedures. The flap is monitored by the doctors and nursing staff while in the hospital. You will have a drain in the breast and both sides of the abdomen (DIEP Flap) or the Latissimus Site (Latissimus Flap) DIEP Flap Breast Reconstruction Surgery at MedStar Franklin Square Medical Center
DIEP flap. The DIEP (deep inferior epigastric perforator) flap uses fat and skin from the same area as the TRAM flap but does not use the muscle to form the breast shape. This method uses a free flap, meaning that the tissue is completely cut free from the tummy and then moved to the chest. As in the free TRAM surgery, a microscope is needed to connect the tiny blood vessels DIEP flap breast reconstruction: Revision surgery may be performed for scar revisions, fat grafting and shaping of the reconstructed breast. Unilateral reconstruction : If reconstruction surgery was performed on only one breast, stage 2 surgery may be performed on the other breast to achieve improved symmetry View before-and-after DIEP Flap Breast Reconstruction pictures of University of Virginia Plastic Surgery's patients. Photos depict the excellent results patients have come to expect from University of Virginia Plastic Surgery DIEP flap surgery has several advantages compared to an implant based reconstruction. The results of DIEP flap surgery have a more natural look and feel. The tissue continues to grow and age with you. Additionally, the patient gets a free tummy tuck out of the procedure. Another popular tissue-based reconstruction is the TRAM flap.
Since DIEP flap uses your natural tissue, the reconstructed breast will be able to change alongside your natural breast, like during weight changes. Being a free flap reconstruction, surgeons can shape the flap and outcomes tend to be more favorable. You will have a scar across your abdomen, around the bellow button, and on the reconstructed. The DIEP flap technique is a method of autologous breast reconstruction, meaning your own tissue is used to reconstruct one or both of your breasts. This muscle-sparing technique offers women natural, long-lasting results without the use of breast implants. Less than 5% of surgeons in the United States perform this intricate procedure, and the board-certified reconstructive surgeons at The.
. In some cases, breast reconstruction with fat transfer can be performed during the same procedure as cancer removal. Reconstruction can also be performed after the completion of treatment Frontal view. After photo taken 2 yr 4 mo from immediate DIEP flap reconstruction after bilateral mastectomies and 1 yr 7 mo from final revision surgery with nipple reconstruction
Offering DIEP Flap and Additional Breast Reconstruction Options. Dr. Chang has performed DIEP flap breast reconstruction surgery for decades and his leadership is widely known. DIEP flap breast reconstruction surgery is one of the most widely performed breast shaping options for women. Dr Breast Reconstruction Associates practice is focused on breast reconstuction, DIEP flap, and Plastic Surgery for cancer patients in Texas and Oklahoma DIEP Flap Reconstruction Surgery seemed like a winner (almost too good to be true). I will end up with newly stuffed breasts (belly tissue) with my own nipples and a tummy tuck as a bonus -paid for by my insurance. I knew there was risk but I had to try - I can do this at age 59 Women seeking breast reconstruction after cancer may opt for DIEP flap surgery, which creates a new breast out of tissue taken from their lower abdomen. Dr. Sumeet Teotia (pictured) and Dr. Nicholas Haddock work closely with patients to deliver the best results and shorter recovery times The actress, 47, decided to undergo a stacked DIEP flap surgery, where the breast is recreated with tissue made up of skin and fat from the lower abdomen. And in Doherty's case, she actually had.
, we will discuss during a private consultation if you are a candidate for DIEP (deep inferior epigastric perforator) or SIEP (superficial inferior epigastric perforator) flap reconstruction, as there are many techniques to choose from depending on your body type, and aesthetic goals The DIEP flap provides the necessary tissue for a breast reconstruction while sparing the loss of the rectus muscles and fascia. This provides the DIEP flap with significant benefits over the TRAM reconstruction. Yet the TRAM is still the much more common abdominal tissue breast reconstruction technique Dr. Ben Brown in Pensacola Florida uses a DIEP flap from the abdomen to reconstruct a right breast after mastectomy.www.GulfCoastPlasticSurgery.co There are many emotional, psychological, and physical benefits of reconstructive breast surgery. Studies have shown that women who have breast reconstruction after cancer experience an increase in feelings of self-worth and confidence. Women who have had breast reconstruction surgery report they have restored feelings of femininity and self-esteem
The DIEP Flap surgery. (A DIEP flap is a type of breast reconstruction in which blood vessels called deep inferior epigastric perforators (DIEP), as well as the skin and fat connected to them, are removed from the lower abdomen and transferred to the chest to reconstruct a breast after mastectomy) You can choose to have breast reconstructive surgery immediately following your mastectomy procedure or at a later time. Types of Reconstructive Breast Surgeries. Breast reconstruction procedures include: Autologous flap; Pedicled and free TRAM flap; Deep inferior epigastric perforator (DIEP) flap; Transverse upper gracilis (TUG) reconstruction Are you a candidate for DIEP Flap surgery? Contact us. We will check if DIEP Flap surgery is right for you. We treat your privacy with utmost care. Contact us and we will send you a secure link to our full application that you can fill out securily and at your own pace in the comfort of your home One surgery took place in June of 2019 (removal of breast tissue and the DIEP Flap procedure/creation of my new belly button; total around 5 hours) and the final reconstruction that took place after 12 weeks was done in September of 2019 (lift of the right breast and the bells and whistles were done) At a mean of 111 weeks after breast reconstruction, neurotization of the DIEP flap resulted in recovery of sensibility that was statistically significantly better (lower threshold) in the flap skin (P < 0.01) and statistically significantly better than in the native mastectomy skin into which the DIEP flap was inserted (P < 0.01)
In general, the studies found better quality of life and breast satisfaction with flap procedures, however, they also found that rates of complications were higher with flap procedures than with implants. The studies used data from the Mastectomy Reconstruction Outcomes Consortium (MROC) trial and were published June 20, 2018 in JAMA Surgery What Are The Risks Of A DIEP Flap? While a DIEP flap is a great option for many women, you should make sure you are choosing the best option for you. Compared to implant breast reconstruction, DIEP flap surgery involves a longer surgery, longer hospital stay, longer recovery, and the risk of losing the entire flap of tissue due to a blood clot DIEP flap breast reconstruction has been compared to a tummy tuck, as the abdomen also loses a large amount of fat and skin without touching the muscle. The suturing of the area where the flap was taken from also has a similar skin tightening effect as a tummy tuck A thorough understanding of the factors associated with fat necrosis will aid operative planning for reconstructive surgeons. Methods: A systematic review of the literature was performed between January 1989 and April 2019. Studies were included if they reported on fat necrosis in DIEP flap or evaluated the perfusion of the DIEP flap What are the risks of DIEP Flap Surgery? While DIEP flap reconstruction is the safest procedure available, there are a few risks to be aware of. Very rarely (1%-2% of cases), the artery or vein connecting the tissue and the breast will clot, constricting circulation and causing the tissue to struggle or even die
The mi-DIEP technique is a type of autologous (free flap) breast reconstruction, a procedure that restores the breasts with skin and fat from the lower abdomen. Free flap reconstructions offer greater durability in comparison to implant-based procedures, have been shown to help avoid infection and other complications, and may offer a more. DIEP stands for Deep Inferior Epigastric Perforator, and DIEP flap refers to a specific type of breast reconstruction technique. This intensive reconstructive surgery removes tissue (skin, fat, and blood vessels) from the lower belly and then uses them to create a new breast
DIEP (deep inferior epigastric perforator) flap is a type of breast reconstruction surgery. This flap procedure involves use of the skin and fat tissue from the lower abdomen to rebuild the breast. The entire breast mound can be recreated without the use of an implant. The DIEP flap procedure is a completely muscle-sparing operation and [ Immediate Reconstruction- DIEP Flap 'Immediate' reconstruction is when the breast reconstruction occurs at the same time as the mastectomy. One major benefit of immediate reconstruction is being able to wake up from anesthesia with a breast reconstruction and not having to live with a mastectomy DIEP flap surgery, (Deep Inferior Epigastric Artery Perforator) involves taking skin and tissue from the patient's abdomen in order to recreate a breast. During this surgery, a team of microsurgeons removes small blood vessels in the abdomen and reattaches them in the chest in order to use the abdominal tissue to recreate a breast
Fat Grafting After Breast Reconstruction before and after patient photos from Plastic Surgery Specialist . Bilateral Deep Inferior Epigastric Perforator Flap Reconstruction (DIEP) Hybrid Deep Inferior Epigastric Perforator Flap Reconstruction (DIEP) Bilateral Delayed DIEP Reconstruction Reconstruction of the breast removed by mastectomy with a breast implant or a DIEP flap. This reconstructive surgery can occur either immediately during the same surgery as the mastectomy or at another time, known as a delayed reconstruction. Reconstruction of the other breast to make the breasts look symmetrical after mastectomy Breast reconstruction is a type of surgery that aims to restore the look and feel of a woman's breasts after a mastectomy. Dubbed as the leading breast reconstruction facility in Ohio and the Midwest, our office offers the following breast reconstruction techniques: DIEP Flap. DIEP Flap uses one's own tissue (usually from the abdomen. A delayed DIEP flap procedure is simply a DIEP flap that is performed at a later date than the mastectomy, sometimes many years down the line. Staged DIEP Flap Surgery. A staged DIEP flap surgery is similar to a delayed DIEP flap, except that at the time of the mastectomy, a tissue expander is inserted into the breast skin and muscle
The DIEP breast reconstruction represents one of the most advanced forms of breast reconstruction and often creates a more natural and realistic result. Following this type of procedure, additional reconstructive surgery will be required to create a nipple and areola (the dark skin around the nipple) A Deep Inferior Epigastric Artery Perforator, or DIEP, flap is a common type of reconstruction done with patients following a mastectomy. This procedure can be done either in two steps with expander placement done concurrently with the mastectomy and the final flap reconstruction done after other treatment is completed, or done all as one surgery at the same time as the mastectomy If you have a skin-sparing mastectomy, the flap that is removed from the abdomen will be used to fill the breast envelope, to form the breast. If you are having DIEP reconstruction after having a prior mastectomy, the flap will be transferred to the chest and stitched in to create the mound. This is why there is an eliptical shaped scar, in.
There are several different types of flap reconstruction surgery. These include the following: Local flap—A local flap is located next to a wound; the skin tissue remains attached at one end so that the blood supply can keep flowing through that piece of skin. Regional flap—This uses a section of tissue that is attached by a specific blood vessel During DIEP Flap breast reconstruction the skin and fat of the lower abdomen is harvested but the muscle is preserved. The blood supply to the skin and fat is dissected through the muscle and the muscle is left in its original place.This more advanced technique offers several advantages over the more traditional TRAM flap reconstruction DIEP flap generally has one main reconstruction surgery, followed by one or more revisions to tweak results. (The number of revisions depends on several factors; I have one friend who didn't need any, some need just one, whereas I've heard of others needing two, mayyyybe three. Hopefully, after the DIEP flap, all you might need is a nipple reconstruction if the nipple was removed. If it is done for prophylaxis, then the nipple is kept on. Some patients need revision to add fat grafts like you mentioned or reposition the flap a bit if it has moved. Or sometimes need a skin tightening procedure like a mastopexy
Surgery 1: Right breast nipple-sparing mastectomy and reconstruction with DIEP flap (her own tissue) Surgery 2: Right breast scar revision and left breast augmentation with small silicone implant (250cc) in fascial pocket. The reconstruction results showed improve breast shape, size, and symmetry compared to her native breasts. Photo Galler An alternative to a pedicled TRAM is a free TRAM (fTRAM). To decrease the risk of bulge, hernia, or abdominal weakness following breast reconstruction, the Deep Inferior Epigastric artery Perforator (DIEP) flap was developed. This flap also uses the tissue of the lower abdomen, but it does not use any of the abdominal wall muscles Most insurance carriers cover DIEP flap breast reconstruction surgery. In 2009, I had Breast Cancer and had a Double mastectomy with reconstruction. I had an Implant on one side, and on my radiated side, I had a Latissimus Flap with small implant. There was always a difference in size and feel to the breast If I know I will have to have radiation, and I want the DIEP flap, should I have immediate or delayed breast reconstruction?. Great question! If you are anticipating radiation treatments as part of your breast cancer treatment after your mastectomy, most plastic surgeons recommend breast reconstruction be delayed until after radiation
For patients who undergo DIEP flap surgery, we can also connect the nerve in the flap to the nerve in the chest. In some patients, this will create a breast or even a nipple that has sensation. Studies have shown that women who undergo breast reconstruction with their own tissue feel like their reconstructed breast is more a part of themselves. The DIEP flap breast reconstruction technique is an extensive surgery, but in case of future radiation requirement, the implants would have to be removed and DIEP remains the best choice. They love the feel of their breasts after DIEP reconstruction since the breasts are natural, move with them, and have more feeling than is possible with implants The DIEP (Deep Inferior Epigastric Perforator) flap is a modern advancement of the original abdominal wall TRAM flap. This approach to breast reconstruction uses the skin and fat from the lower abdomen in order to shape the new breast and give you truly transforming results Deep Inferior Epigastric Perforator (DIEP) Flap Breast Reconstruction. This form of flap reconstruction also utilizes fatty tissue from the lower abdomen to reconstruct the breast. The difference between this procedure and the TRAM flap reconstruction is that DIEP keeps the abdominal muscle in tact, preventing the loss of strength post-recovery
DIEP flap reconstruction In France, every year 15,000 women undergo complete or partial mastectomy due to breast cancer. Only about a third of them, i.e. around 5,000 patients, use the possibilities reconstructive surgery offers and 70 percent of those women opt for an implant although it is associated with a risk of infection because the body might react negatively to the foreign object DIEP flap surgery does require a longer time under anesthesia than other types of breast reconstruction (at least 4-6 hours per reconstructed breast). The surgery is done partially under a microscope to re-connect blood vessels that are 3-5mm in size Breast reduction, Breast reconstruction with flap surgery, Breast lift, Breast augmentation, Rhinoplasty, Cosmetic surg... ery, Reconstructive surgery, Breast reconstruction, Liposuction, Flap surgery, Breast reconstruction with breast implants, Breast surgery. Show more areas of focus for Nho (Bill) V. Tran, M.D Deep inferior epigastric artery perforator (DIEP) flap surgery for autologous breast reconstruction involves the transfer of the patient's own skin and subcutaneous tissues from the lower abdominal wall to the chest to form the breast mound. The advantage of the DIEP flap technique is that the operation spares the rectus muscle
One of the benefits of a DIEP flap breast reconstruction is that the breast(s) can be reconstructed without needing implants. Some women also consider it a 'bonus' that the tummy is left relatively flat after removing the tissue flap (a 'tummy tuck' effect). Another advantage of DIEP flap surgery is that no muscle is moved from the abdomen DIEP flap reconstruction is regarded today as the gold standard in reconstructive breast care following a mastectomy. It is a durable, natural solution for women seeking to redefine themselves following breast cancer and it is the signature area of focus at Cannon Plastic & Reconstructive Surgery
DIEP (deep inferior epigastric perforator) flap refers to the use of excess lower abdominal skin and fat to reconstruct the breast. The incision for this procedure is similar to an abdominoplasty (a tummy tuck). Your plastic surgeon sculpts the excess skin and fat that is removed to recreate the breast Your Options For DIEP Flap Reconstruction. DIEP flap reconstruction is a fairly straightforward procedure that uses only tissue from the abdomen to reconstruct the breast, sparing all abdominal muscle. Although one of several different options available for tissue-based reconstruction, DIEP flap reconstruction offers many specific advantages DIEP flap breast reconstruction surgery usually requires a hospital stay of 5-10 days. After a DIEP flap breast reconstruction: the reconstructed breast(s) will be monitored carefully, every 30-60 minutes for the first day or so. This is important to make sure that the blood supply to the reconstructed breast is sufficient. Although this frequent checking can make it difficul I had DIEP flap reconstruction last March. The surgery took about 6 hours and my hospital stay was 4 days. I was a little uncomfortable, but never in that much pain. (Good Meds I suppose) I was sent home with binders and drains and needed to take it easy for a few weeks. I went back to teaching after 6 weeks
What is DIEP Flap Reconstruction? During DIEP flap reconstruction, skin, fat, and blood vessels are cut from the lower abdomen wall and relocated to the chest to reconstruct the breasts.The abdomen is used due to its abundance of skin and fat. Because the DIEP flap procedure requires expertise in microsurgery as well as special surgical training, all surgeons or hospitals do not offer it Perforator Flap (DIEP) Breast Reconstruction Maurice Y. Nahabedian, MD, FACS,* and Bahram Momen, PhD† Abstract: The etiology of lower abdominal bulge following breast reconstruction with the DIEP ﬂap is uncertain. Most studies report an incidence that ranges from 0.7% to 5%. The purpose of this stud