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How Is DIEP Flap Reconstruction Surgery Done and What is Used? What is involved in the second stage of DIEP flap surgery? What is tissue flap breast reconstruction? Latissimus dorsi (LD) flap: The LD flap is similar to the TAP flap, in that it involves taking muscle, skin and fat from the upper back. However, because they take advantage of the patient's own tissue, these techniques may yield more natural and longer-lasting results. So, if we sucked out fat from your flanks and love handles and your abdomen, I want you to wear Spanx that will compress that area. Exercise: You can exercise after 1 week in a supportive bra and a compression garment. Future breast cancer screening. This should help eliminate the problematic lateral drift often observed in free flaps anastomosed to the thoracodorsal vessels. Expander-implant breast reconstruction. It might sound surprising, but I actually had more discomfort following phase 2. Second stage diep flap surgery review. Although the second stage commonly is associated with nipple reconstruction, the nipple should only be placed once the breast shape is optimal.
The steps in this breast procedure include: If you have breast cancer and your surgeon recommends a mastectomy, consider DIEP flap breast reconstruction as part of your recovery. Thank you for reading and sharing this post! Because DIEP flap surgery involves two sites on your body, the time it will take for your body to fully recover will be longer. Second stage diep flap surgery cost. An Oncoplastic Surgery Primer: Common Indications, Techniques, and Complications in Level 1 and 2 Volume Displacement Oncoplastic Surgery.
Because DIEP flap breast reconstruction uses patients' own tissue to recreate their breasts, there is no need for routine maintenance screenings or surgery. The breast is reconstructed entirely with your own tissue, so you don't have to deal with implants. People who smoke are often advised to delay breast reconstruction until they have abstained from smoking for at least two months. Breast Reconstruction: Surgery Options after Mastectomy | CTCA | City of Hope. During the procedure, a skilled plastic surgeon uses the tissue, fat, and blood vessels from your lower abdomen — the same fat that would be thrown away in a tummy tuck — to reconstruct one or both breasts lost to your cancer treatment.
In a study of abdominally based flaps, Kwok et al determined the return rate to the operating room for vascular anastomosis revision to be 0% following immediate unilateral breast reconstruction with pedicled TRAM flaps. Everyone's situation is different, so there's no one-size fits all here either. To learn more, check out our website where you can upload your photos and concerns for a virtual consult. Patients like the "tummy tuck" it provides. Back (latissimus dorsi flap). When the procedure is done simultaneously with a mastectomy, it's called immediate breast reconstruction. The patient should have completed her adjuvant therapy, and she can focus more on assisting with improving the cosmesis of her new breast. Tissue from your back or — less commonly — your buttocks may also be used. This technique uses a silicone gel implant to create the breast mound. This results in a full restoration of core muscle function after patients have recovered and a lower risk of developing an incisional hernia. Find their offices in Manhattan, Planview, and Water Mill, NY, and in Montclair and Red Bank, NJ. DIEP Flap Surgery: Tissue Based Breast Reconstruction | Nashville. The purpose of phase 2 is to fine-tune things — meaning the breasts and the scar areas.
It takes between six and eight hours, depending on if one or both breasts need reconstruction. In these cases, or for any woman who has already had a mastectomy without reconstruction, delayed breast reconstruction is often a viable option. "Stacked" DIEP flap reconstruction: In this procedure, reconstructive microsurgery techniques are used to transfer both sides of the lower abdomen to create a single breast, allowing women with limited donor tissue to take advantage of autologous reconstruction. Wearing an elastic bandage or support bra can help keep swelling down and support your breast while it heals. Second stage diep flap surgery before and after photos. That's my hope and intention anyway. Some muscle weakness may result from DIEP flap reconstruction, but this side effect is uncommon. Losken A, Pinell-White X, Hodges M, Egro FM. Of 109 patients who underwent breast reconstruction immediately after skin-sparing mastectomy, the investigators found that 17 of the 80 patients in whom implant-based reconstruction was performed (21%) suffered reconstruction failure following PMRT, while no such failure occurred after PMRT in the 29 patients who underwent autologous reconstruction. However, you might run into issues with Medicare and/or Medicaid coverage which can vary state to state. Monday-Thursday: 9AM – 5PM. To summarize, at the revision of a DIEP flap reconstruction, we're sucking out fat from areas where you don't want it, adding fat to areas where you need it, cutting out extra skin, and tightening up the skin on your breasts, your abdomen, your armpits, wherever there's all that loose skin.
Inspect the mastectomy flaps carefully. When this happens the entire must be removed through surgery. Placement of the skin paddle depends on the amount of excess skin on the patient's back and the location on the breast where the skin paddle is needed.