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Definition

The DIEP (deep inferior epigastric perforator) flap procedure is a breast reconstruction procedure used after a mastectomy. Different from implant reconstruction, a DIEP flap breast reconstruction involves using tissue from the lower abdomen — including skin, fat and blood vessels — to create a new breast. Unlike other methods, it preserves abdominal muscles, leading to fewer complications and faster recovery. The tissue is carefully reconnected to ensure it survives and forms a natural-looking breast.

Alternative names

Tummy tuck breast reconstruction; Breast reconstruction with flap surgery

Description

During the DIEP flap surgery, a surgeon removes skin, fat and blood vessels from the lower abdomen. The tissue is then transferred to the chest to form a new breast, with blood vessels connected to those in the chest. This connection allows the tissue to survive and function as a new breast. The procedure takes several hours and is performed under general anesthesia.

A DIEP flap reconstruction surgery can also improve the abdomen’s appearance, offering a flatter, more toned look similar to a tummy tuck, as the procedure removes excess skin and fat. This approach is ideal for women who have enough abdominal tissue for reconstruction and are in good health. If you’ve had previous abdominal surgery, it may still be an option, depending on the location and extent of your scarring.

The DIEP flap is preferred over other methods, such as the TRAM flap, because it preserves abdominal muscles, leading to quicker recovery and a more natural appearance. Unlike implants, the DIEP flap also results in a more natural feel and appearance since it uses your own tissue.

Before the procedure

Before the DIEP flap surgery, you’ll have a consultation with your plastic surgeon to discuss your health, the procedure and your goals for breast reconstruction. You may need to stop taking certain medications, and it’s essential to avoid smoking, as doing so can affect healing. Your surgeon will assess whether you have enough tissue in your abdomen for the reconstruction.

After the procedure

DIEP flap recovery typically requires a hospital stay of around 3 days. You’ll need to avoid heavy lifting and strenuous activity for 6 weeks.

Potential side effects

The DIEP flap procedure is generally safe, but potential side effects can include:

• Infection
• Blood clots
• Problems with blood flow to the flap
• Scarring on the abdomen and chest
• Numbness in the abdomen or chest area

Outlook

Many patients are happy with the natural look and feel of their reconstructed breasts and enjoy the added benefit of a flatter abdomen. While the recovery process can take time, the results are often long-lasting and highly satisfactory.

Related specialties

• Plastic surgery

This entry was written by Jennifer Cruz-Urbano, marketing specialist, and reviewed for accuracy by Kalyan C. Dadireddy, MD. Generative AI was leveraged as part of the content creation process.