Breast Procedures

Because your own tissue is used, the reconstructed breast will look and feel more natural than an implant.  

Unlike some other procedures, DIEP flap doesn’t require the removal of abdominal muscles, so there’s less impact on your strength and a lower risk of hernia or other complications. 

 The tissue removed from your abdomen is similar to a tummy tuck, which can give you a flatter, tighter abdominal area. 

 The tissue used in DIEP flap is living tissue, meaning it will last and feel natural for many years. You won’t have to worry about replacing it as you might with implants. 

You may be a good candidate for DIEP flap if:  

• You have enough tissue on your abdomen to donate (this is usually determined during a consultation with your surgeon).
• You’re in good overall health and don’t have conditions that might affect healing or blood circulation.
• You want a natural-looking and long-lasting breast reconstruction.
• You prefer using your own tissue rather than implants.

Dr. Nguyen will help determine if this procedure is the right option for you based on your individual health and preferences.

While DIEP flap offers many benefits, it's also a complex surgery that comes with some risks. These include:

• Flap Failure: Sometimes, the blood vessels may not successfully reconnect, which can result in the tissue not surviving.
• Longer Recovery: Because the procedure is more complex, it typically requires a longer recovery time than implant-based reconstruction.
• Scarring: The surgery will leave scars on your lower abdomen and possibly your breast area. However, your surgeon will do their best to minimize these scars.

The DIEP flap surgery usually takes around 6 hours and is performed under general anesthesia. Here’s what you can expect:

1. Tissue Removal: Your surgeon will carefully remove the tissue from your lower abdomen, making sure to preserve the blood vessels that supply it.
2. Microsurgery: The surgeon will use a microscope to reconnect these blood vessels to vessels in your chest.
3. Breast Reconstruction: The tissue is shaped into a new breast mound, and any excess skin will be trimmed.
4. Closing the Incisions: Your surgeon will close the incisions on both your abdomen and breast areas.

Recovery from DIEP flap surgery takes time, and you’ll need to follow your surgeon’s instructions carefully to ensure the best results. Here’s a general idea of what to expect:

• Hospital Stay: You will likely stay in the hospital for 4 to 7 days after surgery for monitoring and care.
• Pain and Swelling: Some pain, swelling, and bruising are normal after surgery, but your doctor will provide pain management to help you feel more comfortable.
• Activity Restrictions: You’ll need to avoid heavy lifting and strenuous activities for several weeks while your body heals.
• Follow-Up Appointments: You’ll have follow-up visits with your surgeon to monitor the healing process and ensure the tissue is getting enough blood flow.

Most people can return to normal activities after 6–8 weeks, but you’ll need to take it easy during the initial recovery phase.