Although there are many different ways to perform nipple reconstruction, at PRMA we use the "bow-tie" method. What's involved in phase 2? Since the breast is recreated with your tissue, the results often look and feel more natural than implants. Resume normal exercise and other activities as directed. During the procedure, the surgical team removes the tissue from the selected donor site and uses it to recreate the breast. Second stage diep flap surgery recovery time. When using implants, the shape and feel of the reconstructed breast can be difficult to recreate. Radiation therapy delivered to the skin and chest wall may pose complications during healing if it's given after breast reconstruction surgery.
However, it is super important to allow the time your body needs to heal. Adjustments for breast shape and symmetry are completed. It may also be the safest option for some, particularly those who: Smoke. During axillary dissection and dissection of the thoracodorsal pedicle, the lateral border of the latissimus is lifted away from the chest wall. Patients who receive either preoperative or postoperative radiation and undergo reconstruction with implants are more likely to develop capsular contracture than those who do not receive irradiation. Djohan R, Gage E, Bernard S. DIEP Flap Surgery: Tissue Based Breast Reconstruction | Nashville. Breast reconstruction options following mastectomy. The fat is obtained by liposuction, cleaned and then prepared so it can be injected easily into the areas it is needed.
And finally, if you'd like to have your questions answered on a future podcast or Q&A video session like this, please leave a message on our SpeakPipe. "Looking for an experienced plastic surgeon can help prevent flap failure from occurring, " Chu says. The IGAP flap (inferior gluteal artery perforator flap) is a similar surgery except the artery in the bottom part of the buttocks is used. While preparing for surgery, your doctor may give you blood thinners or other preventative medications before your surgery. In the majority of today's cases, this is no longer necessary. Breast reconstruction options: What to know about DIEP flaps and tissue flaps. The tummy flap names are based on how the tissue is transferred and if the abdominal wall muscle is used or not. TRAM Flap Reconstruction Surgery.
If performing reconstruction with a prosthesis, select the projection of the implant accordingly. Incisions for cosmetic breast improvements will be made on the breast, usually in the fold beneath the breast or to the side of the breast. DIEP flap or tissue flap breast reconstruction can be performed immediately following a mastectomy or as delayed reconstruction. How Long is the Recovery Period from DIEP Flap surgery? However, delayed reconstruction may be the preferred option for patients who want to focus on treatment or need more time to decide. Your plastic surgeon may discuss the pros and cons of surgery on your opposite breast, even if it's healthy, so that it more closely matches the shape and size of your reconstructed breast. There are many donor sites of the body that can be utilized to reconstruct a breast. That's roughly double the recovery time of implant-based reconstruction. Second stage diep flap surgery review. Your doctor will let you know of any restrictions to your activities, such as avoiding overhead lifting or strenuous physical activities. This may help you become familiar with the changes to your breast after surgery so that you can be alert to any new changes and report those to your doctor. Don't let cancer deprive you of happiness. But this has been largely replaced by its free flap version, where the muscle can be totally or partially saved.
I did my appointments out of their red bank office with Dr Pierce. No matter what a woman chooses, a mastectomy is a huge deal and represents a huge loss in more ways than one. Philadelphia: Wolters Kluwer Health; 2014. When undergoing breast cancer treatment, it's important to choose a care center where your team works closely with your plastic surgeons from the start. Saline implants may be an option, but they are not typically recommended, mostly because the newer generation of silicone gel implants offers a more natural look and feel. During the DIEP flap procedure, a flap of tissue is removed from your abdomen and relocated to your chest by reconnecting the veins and arteries. A retrospective study by Valente et al found that the risk of cancer recurrence was not increased among patients in whom, owing to wound complications subsequent to immediate postmastectomy breast reconstruction, initiation of adjuvant systemic breast cancer therapy was delayed. In these cases, or for any woman who has already had a mastectomy without reconstruction, delayed breast reconstruction is often a viable option. Author: Dr. After diep flap surgery. Ramon Garza III and Courtney Floyd.
Breast Cancer Res Treat. And not evenly on both sides, I might add. For this reason, it has not become very popular. 2019 Jul 24. doi: 10. Your surgeon transfers a section of skin, muscle, fat and blood vessels from one part of your body to your chest to create a new breast mound. Immediate vs. delayed breast reconstruction. Some muscle weakness may result from DIEP flap reconstruction, but this side effect is uncommon. The Advantages of DIEP Flap | Texas. It is important to mark the IMF and the medial border and lateral slope of the breast.