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Breast reconstruction using the DIEP flap procedure has gained recognition as the “gold standard” in recent years. However, many women who could benefit from this transformative surgery are often turned away due to misconceptions. Let’s explore what makes someone a candidate for DIEP flap breast reconstruction.
Overall Health
Good overall health is essential for becoming a candidate for DIEP flap breast reconstruction, an advanced and highly personalized option for rebuilding the breast. This procedure relies on your body’s ability to heal effectively, which means maintaining a stable weight, managing chronic conditions, and avoiding smoking. These steps not only improve surgical outcomes but also contribute to a smoother recovery, setting you up for long-term success.
Realistic Expectations
The key to having a positive experience is knowing what to expect with DIEP flap surgery. This procedure uses your own tissue to create a natural-looking breast, but it’s also complex and requires a dedicated recovery period. You’ll need sufficient abdominal tissue for reconstruction, and minor contouring adjustments may be part of the process. While scars are inevitable, they tend to fade significantly over time. Understanding these aspects allows you to embrace the journey fully and celebrate each milestone.
Body Type and Tissue Considerations
One common misconception is that only women with higher BMIs qualify for DIEP flap breast reconstruction, but being overweight isn’t a requirement! In reality, it’s not about the number on the scale but where your body stores fat. Women with smaller breasts or lower BMIs may still qualify if there is enough tissue in the abdominal area or other donor sites. Most surgeons set an upper BMI limit of 40 to keep the surgery safe. If you’re unsure about your eligibility, a consultation with an experienced surgeon can provide clarity.
Considering Implant Removal?
If you’re thinking about removing breast implants, you’re not alone. Many women opt for this empowering choice due to personal, health, or aesthetic reasons. The DIEP flap procedure can be an excellent option to restore a natural look using your own tissue. Discuss your goals with a board-certified reconstructive surgeon who can guide you toward the best path for your health and confidence. Implant removal doesn’t have to mark the end of your reconstruction journey—it can be the start of something new.
Other Considerations Before DIEP Flap Surgery
Preparing for DIEP flap surgery involves more than just deciding it’s the right option. Here are some factors to keep in mind:
- Recovery Needs: This surgery typically requires several weeks of downtime. During DIEP flap recovery, arrange for help with daily tasks, childcare, or work responsibilities.
- Medical and Lifestyle Adjustments: Discuss any medications or medical conditions with your surgeon. Quitting smoking and improving nutrition can significantly boost healing and results.
- Mental Preparation: Understanding potential scars, recovery milestones, and the overall process can make your journey smoother and more rewarding.
You Have Had Previous Abdominal Surgery
While some abdominal surgeries can pose challenges for the DIEP flap procedure, most of the time, they do not disqualify a woman from being a candidate. Procedures like C-sections, hysterectomies, or tubal ligations rarely affect the blood vessels needed for reconstruction. Surgeons may use imaging tests like Doppler ultrasound or CT angiograms to assess your anatomy. However, extensive abdominal surgeries or previous TRAM flap procedures might pose challenges. An experienced surgeon can evaluate your specific situation.
Umbilical Hernia or Chest Radiation
- Umbilical Hernias: Most umbilical hernias, even large ones, don’t prevent DIEP flap surgery. Surgeons can often address the hernia during the procedure.
- Previous Chest Radiation: While radiation after a mastectomy can complicate reconstruction, healthy DIEP flap tissue is often the best choice to replace damaged areas. Alternative blood vessels can be used if needed.
By debunking these misconceptions, it’s clear that many women previously deemed ineligible for DIEP flap surgery may, in fact, be suitable candidates. Consulting with a skilled reconstructive surgeon is the first step to discovering your options.
Ready to Explore Your Options? Consult with a Breast Specialist Today
If you’re exploring your options for post-mastectomy reconstruction, including DIEP flap surgery, our team at PRMA is here to guide you. Reach out today to discuss your personalized reconstruction journey, or complete a virtual consultation to take the next step toward restoring your confidence and well-being.
