What to Expect During the DIEP Flap Procedure
Before your DIEP flap procedure at Austin Plastic & Reconstructive Surgery, you’ll first sit down for a private consultation with one of our expert reconstructive surgeons. You and your surgeon, in communication with your oncologist, will work together to determine if a DIEP flap is the ideal breast reconstruction technique for your unique situation. Your surgeon will listen to your goals and concerns and will work in advance with your oncologist and your breast cancer surgeon to develop a safe treatment plan that fits your body type and lifestyle. Our plastic surgeons are skilled aesthetic breast reconstruction surgeons, adept at both traditional implant techniques and advanced breast reconstruction techniques, such as the DIEP flap procedure. On the day of your procedure, you will be administered general anesthesia by a board-certified anesthesiologist. Your surgeon will then make the necessary incisions and precise microsurgical steps to transfer healthy, living tissue from the abdomen to the chest. They will then sculpt the tissue into a realistic breast mound based on your unique treatment plan.
Nipple Reconstruction
Some DIEP flap patients are also candidates for a nipple-sparing mastectomy. For these patients, the nipple can be preserved, and the DIEP flap can be placed underneath the skin to replace the volume lost. If the nipples must be removed, they will be reconstructed three months after your initial DIEP flap surgery as part of a second touch-up procedure. Three-dimensional areola tattooing is also available in the office to add color to the areola and the appearance of texture to the reconstructed nipple.
Alternative DIEP Flap Methods
If you are very thin or if the size demand of your reconstructed breast requires more tissue, it may be necessary for your surgeon to perform a bipedicle DIEP or stacked DIEP flap reconstruction, in which flaps of fat and skin are taken from both sides of the abdominal area to make a single larger breast. Alternatively, a slim patient who undergoes a bilateral mastectomy and has an immediate DIEP flap reconstruction of both breasts can have fat graft injections at the time of the second-step nipple reconstruction surgery to improve the contour and fullness of the new breasts.