BREAST RECONSTRUCTION
BREAST RECONSTRUCTION WITH ABDOMEN TISSUE – DIEP
DIEP (Deep Inferior Epigastric Perforator) is the most widely used microsurgery technique for breast reconstruction. In this method, skin and fat from the patient’s own abdomen are used,just as in a tummy tuck, along with an artery and a vein in charge of the irrigation that nourishes those tissues. This tissue (flap) is removed and is transplanted to the same patient in the breast area to be reconstructed.
The artery and vein that feed these tissues are micro-surgically sutured to reduce the necessary blood supply. Once transplanted, the tissue is remodeled on the shape of the other breast. Even so, in some cases it may be necessary to do a reduction of the other breast.
Breast reconstruction with abdominal fat is performed without damaging any muscles of the abdominal wall and as a result, it is it is less painful than other traditional techniques. The objective is none other than to build a breast that is as natural as possible and without resorting to prostheses.
This type of breast reconstruction can be applied in the majority of patients undergoing a mastectomy or removal of the breast, mitigating the sequelae of breast cancer treatment. We will advise you on the type of reconstructive surgery that best suits you.
What patients are candidates for microsurgical breast reconstruction?
Patients with sufficient abdominal tissue. Patients with a slim build may not have enough fatty tissue to perform this technique.
Non-smoking patients. It is necessary for the patient to avoid smoking in the weeks prior to the intervention.
Patients without vascular problems.
Patients with no history of abdominal surgery. The artery and vein of the flap could be damaged.
Patients who are not planning a pregnancy. The loss of part of the abdominal wall can cause complications in the pregnancy process.
Patients with sufficient abdominal tissue. Patients with a slim build may not have enough fatty tissue to perform this technique.
Non-smoking patients. It is necessary for the patient to avoid smoking in the weeks prior to the intervention.
Patients without vascular problems.
Patients with no history of abdominal surgery. The artery and vein of the flap could be damaged.
Patients who are not planning a pregnancy. The loss of part of the abdominal wall can cause complications in the pregnancy process.
PRICE
PRICE
TO CONSULT
DURATION
DURATION
6-8 HOURS
ANESTHESIA
ANESTHESIA
GENERAL
RESULTS
RESULTS
6 TO 12 MONTHS
PRICE
TO CONSULT
DURATION
6-8 HOURS
ANESTHESIA
GENERAL
RESULTS
6 TO 12 MONTHS
BEFORE AND AFTER
The trust of our patients extends to the post-operative period, when they allow us to share their before and after so that other people can see our work. The only retouching of these images is that of tattoo ink and skin moles, erased to protect the privacy of our patients.
FREQUENTLY ASKED QUESTIONS
A breast reconstruction surgery with DIEP usually lasts between 4-8 hours, depending on the case and the type of intervention.
Due to many factors, the intervention is usually performed under general anesthesia. However, in nipple reconstruction surgery, only local anesthesia can be used.
21 days after the intervention, the patient will be able to return to her daily routine progressively and respecting the guidelines.
In the event of having suffered damage to the vascular supply in the abdominal area, after a previous surgery, the DIEP would not be possible. It is also contraindicated in cases of smoking patients, so they must stop smoking at least 6 weeks before the intervention.
Breast reconstruction with the DIEP technique can be performed in the same mastectomy procedure, called immediate reconstruction. However, it can also be done later, known as delayed breast reconstruction. The choice will depend on the type of tumor and the indications of the specialists.
Once the tissue has stabilized in its new location, it is possible to reconstruct the areola and nipple, as well as make modifications or refinements to the size or shape of the reconstructed breast.
The surgery leaves a horizontal scar in the lower abdomen and another around the navel. In addition, sometimes there may be another in the front part of the arm.
The reconstructed breast has a natural appearance. In addition, if the patient gains or loses weight, her volume will also change. After the inflammation has disappeared, at 4-6 months, the nipple and areola can also be recreated.
The abdomen area is improved, because excess fat is removed, as in a tummy tuck.
OUR SPECIALIST
Breast lift (or mastopexy) is a procedure for aesthetic purposes, although in some cases it also has a functional connotation, contributing to the well-being and health of women.
This surgical intervention consists of relocating the lax and sagging mammary gland, removing excess skin. This gives a firmer and younger look to the breasts.