DIEP Breast Reconstruction
A Modern, Natural Option.
What Is DIEP Reconstruction?
The DIEP (Deep Inferior Epigastric Perforator) flap is one of the most advanced techniques for breast reconstruction available today. It uses the patient’s own skin and fat — typically from the lower abdomen — to rebuild the breast after a mastectomy, without sacrificing any abdominal muscles. This makes it a “muscle-sparing” procedure, which leads to better recovery outcomes and preserves core strength.
How the Procedure Works
During a DIEP flap surgery, a surgeon transfers a complete section of tissue, including fat, skin, and the necessary blood vessels, from the lower abdomen to the chest. Using microsurgery, the blood vessels from the flap are connected to those in the chest to restore blood flow. The tissue is then sculpted into a natural-looking breast. This can be done at the same time as the mastectomy (immediate reconstruction) or in a later operation (delayed reconstruction), depending on the patient’s preferences and cancer treatment plan.
Many patients prefer immediate reconstruction, as it allows them to wake up from surgery with a reconstructed breast, avoiding a period without one and often improving emotional well-being and self-esteem.
Key Advantages of DIEP Flap Reconstruction
• No muscle removal.
Unlike older techniques such as the TRAM flap, the DIEP flap preserves all abdominal muscles, resulting in less pain and faster recovery.
• Natural look and feel.
Because the reconstructed breast is made from the patient’s own tissue, the shape, texture, and symmetry tend to look and feel more natural compared to implants.
• Flatter abdomen.
A side benefit of using abdominal tissue is that it also results in a tighter, slimmer stomach, similar to a tummy tuck.
• Lower risk of abdominal complications.
The risk of issues like hernias or bulging is significantly reduced due to the muscle-sparing approach.
• Fewer implant-related risks.
Using your own tissue avoids common implant complications such as capsular contracture, infection, implant rupture, or shifting, which often require additional surgeries.
• Optional sensory nerve repair.
Many patients are candidates for nerve reconstruction during the DIEP procedure, potentially restoring sensation to the reconstructed breast.
• Can address arm lymphedema.
For patients with arm swelling due to lymph node removal or damage, a Vascularized Lymph Node Transfer (VLNT) can be done at the same time to help reduce lymphedema symptoms.
Why Choose DIEP Over Implants or Other Flaps?
Patients who choose the DIEP flap often do so for its natural results and long-term benefits. Unlike implant reconstruction, which can involve ongoing maintenance or multiple surgeries over time, DIEP reconstruction uses your body’s own living tissue, which adapts, ages, and heals with you. There’s no risk of implant rejection or rupture, and many patients appreciate avoiding synthetic materials altogether.
Overall, DIEP breast reconstruction offers a highly personalized, long-lasting solution with both cosmetic and health advantages, making it an ideal choice for many women seeking a natural restoration after mastectomy.
If you’re considering breast reconstruction and want to preserve as much of your natural breast appearance as possible, the DIEP flap could be a suitable and empowering option.
Your journey starts here. Please get in touch with us by filling out an online form or calling 1-883-RENEWBR.