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What Is DIEP Flap Reconstruction?

The DIEP (Deep Inferior Epigastric Perforator) flap procedure uses tissue from the lower abdomen to reconstruct the breast after mastectomy. Unlike older flap methods, this surgery preserves abdominal muscles, using only skin and fat for transfer.

This advanced technique addresses:

  • Breast reconstruction after mastectomy
  • Loss of natural volume and contour
  • Need for long-lasting results without implants
  • Desire for reconstruction with reduced donor site weakness

Why Turn To DIEP Flap Surgery

Our surgeons are board-certified and have advanced expertise in complex microsurgical procedures, especially when it comes to Breast Reconstruction. Patients can expect highly individualized care, natural results, and a strong emphasis on safety.

Dr. Kara Criswell and Dr. Bryan Criswell are known for their technical excellence and compassionate approach. With decades of combined surgical experience, they have helped countless women restore form and confidence. 

Their skilled RN injectors and estheticians complement surgical care with advanced recovery and aesthetic support.

I'm a fortunate breast cancer survivor. Dr Brian Criswell helped restore symmetry to my breast with reconstruction and reduction surgeries. The entire staff at his practice was wonderful to me during the process. Feeling renewed confidence with a more 'balanced' appearance, I've enjoyed visiting the office for information and advice from the excellent aestheticians.

V.S.

Benefits of DIEP Flap Reconstruction

This procedure is widely chosen for its natural feel and lasting results. Unlike implants, the tissue integrates seamlessly with your body, avoiding risks of rupture or replacement.

Key benefits include:

  • Natural look and feel using your own tissue
  • Preservation of abdominal muscle strength
  • Reduced long-term maintenance compared to implants
  • Simultaneous body contouring in the abdominal area
  • Durable reconstruction with long-lasting results

About DIEP Flap Surgery Candidacy

Generally, candidates are women who have had a mastectomy and desire natural breast restoration using their own tissue. Adequate abdominal tissue and overall good health are essential for safe healing and optimal results.

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What to Expect During DIEP Flap Reconstruction

Every consultation begins with a thorough discussion of your goals, health history, and surgical options. The procedure is carefully tailored to achieve the most natural and balanced outcome. Typical steps include:

  • Tissue is removed from the lower abdomen, preserving the muscle.
  • Blood vessels are reconnected using microsurgery for healthy tissue transfer.
  • The breast mound is sculpted and shaped for symmetry.
  • Donor site incisions are closed, leaving results similar to a tummy tuck.

Recovery and Long-Term Results

Initial recovery requires a hospital stay of about three to four days for close monitoring. Swelling, bruising, and mild discomfort are common but improve steadily. Most patients return to light activities within a few weeks, with full recovery over six to eight weeks.

Results are long-lasting, with reconstructed breasts that look and feel natural. Scars fade over time, and many patients enjoy the added benefit of improved abdominal contour.

Types of DIEP Flap Reconstruction

While the DIEP flap is the gold standard, variations may be recommended based on anatomy and goals.

  • Unilateral DIEP flap: One breast is reconstructed using abdominal tissue.
  • Bilateral DIEP flap: Both breasts are reconstructed in the same surgery.
  • Hybrid approaches: May combine tissue transfer with implant support for volume balance.

Alternative or Related Options

  • TRAM Flap Reconstruction: Uses abdominal tissue with muscle involvement; may reduce core strength.
  • Latissimus Flap Reconstruction: Tissue from the back is rotated to the chest, often combined with an implant.
  • Implant-Based Reconstruction: Uses saline or silicone implants instead of natural tissue.
  • Fat Transfer: Small-volume grafting to refine breast contour or symmetry after other reconstructions.
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DIEP Flap Reconstruction Frequently Asked Questions

How long does DIEP flap surgery take?

The procedure usually lasts six to eight hours, depending on whether one or both breasts are being reconstructed.

Will I lose abdominal strength after surgery?

No, DIEP flap reconstruction preserves abdominal muscles, reducing the risk of long-term weakness compared to older techniques.

Are there risks involved?

Yes, risks include infection, poor wound healing, or flap failure. However, with experienced microsurgeons, success rates are very high.

Will insurance cover DIEP flap reconstruction?

Most insurance plans cover breast reconstruction procedures, including DIEP flap, under federal law following mastectomy. Coverage specifics depend on your plan.

Can sensation return after surgery?

Some women experience partial return of sensation over time, though results vary. Advanced techniques aim to improve sensory nerve reconnection.

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