Unfortunately, the technical skill and training demands for this procedure are steep, and for this reason it is unlikely that it will ever be widely available. For more information, see Finding a Qualified Plastic Surgeon. Excess living fat from below the belly button is transplanted to the chest to give back volume and shape. These vessels pierce throught the muscle. Because the DIEP flap procedure requires special surgical training as well as expertise in microsurgery, not all surgeons can offer DIEP and it's not available at all hospitals.
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Your clinic team will provide any necessary documentation for your employer. If two breasts require reconstruction, both lower halves are used, one for each reconstruction. Most plastic surgeons find it much easier to perform the TRAM, latissimus flap or implant reconstructions. This approach to breast reconstruction is gentler than and preferred over older breast reconstruction techniques known as TRAM and Latissimus flaps. A DIEP flap is considered a muscle-sparing type of flap. The so called muscle sparing TRAM ms-TRAM has proponents, but this procedure still involves muscle and fascia excision, and in our experience, is not necessary.
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DIEP Breast Reconstruction
Your arrangements for assistance after surgery should include an estimated week to ten days of availability from your caregiver. Secondary revision surgery may be required on the breast to improve appearance or symmetry and depends on patient body type and desires. DIEP stands for the deep inferior epigastric perforator artery, which runs through the abdomen. Your surgeon carefully reattaches the blood vessels of the flap to blood vessels in your chest using microsurgery. So if you're thinking about prophylactic removal and reconstruction of the other breast, you might want to make that decision before you decide on reconstruction. The DIEP flap can be used for immediate or delayed reconstruction.
Description:Still, a DIEP flap does leave a long horizontal scar -- from hipbone to hipbone -- about one-third of the way between the top of your pubic hair and your navel. Your navel is then brought back out through a separate incision and reshaped. If you're considering a DIEP flap, you may have to research the surgeons and facilities that offer what you want. As with any surgery, the risks of surgery can be minimized by carefully following your pre-surgical instructions. However, DIEP flaps have been done for many years now and have been confirmed to be an excellent option for breast reconstruction. The area of the abdomen from which the tissue is removed is tightened as a result of the loss of excess skin.