DIEP flap

Replacing the skin and soft tissue removed at mastectomy with soft, warm, living tissue is accomplished by borrowing skin and fatty tissue with the blood supply. The most common area fat and skin are taken from (donor site) is the abdomen-DIEP Flap Surgery Using sophisticated microsurgical techniques, the underlying muscle is totally preserved. Therefore, the patient does not need to sacrifice a major muscle in her body in order to have a natural, normal looking and feeling breast reconstruction. In addition to reconstructing breast, the contour of the abdomen is often improved much like a tummy tuck. Restoration of the nipple and areola follow. Scars fade substantially with time. Natural tissue breast reconstruction can be used to restore breast after failed or unsatisfactory implant-based breast reconstruction. For many years, Mr Kosutic had dedicated his practice to highly sophisticated forms of microsurgical breast reconstruction called perforator flaps. Most common technique used for natural tissue breast reconstruction called the DIEP Flap Surgery (Deep Inferior Epigastric Artery Perforator Flap). Perforator flaps are the state of the art in breast reconstruction. These procedures, otherwise surgically very challenging, have been made safer and more reliable using advanced imaging – CT and MRI scans. Mr Kosutic has published some of the key papers that described these techniques in planning of perforator flap breast reconstruction with the DIEP flap, which have been cited hundreds of times in scientific literature and accepted worldwide as the gold standard. Dr Damir Leads Breast Reconstruction at The Christie- one of the largest European Cancer centres.

What you need to know about DIEP Flap Surgery?
Before and After: DIEP Flap Surgery
Frequently asked questions for DIEP Flap Surgery
Please use the below list of frequently asked question and do not hesitate to contact us if you have any other questions or would like to discuss this procedure.
DIEP Flap provides natural tissue breast reconstruction for most patients who had mastectomy for breast cancer. It is indicated in patients with sufficient fat and skin volume in the abdomen seeking natural breast appearance.

DIEP flap can be performed at the same time with mastectomy for breast cancer (immediate reconstruction) or after mastectomy and radiotherapy were completed (delayed reconstruction.) Dr Damir performs both techniques, depending on his patients ‘ individual circumstance.

Abdominal donor site scar is hidden under the underwear line in most patients whilst scar pattern in the reconstructed breast differs between immediate and delayed DIEP flaps. Dr Damir will discuss this with you at the consultation in detail.
Patients are discharged after 5-7 days and advised to avoid any strenuous physical activity or bending backwards/stretching abdomen for 6 weeks. Sleeping on the front or putting pressure on the flap are to be avoided and wounds should be kept dry for the first 2 weeks after surgery. After that very gentle scar massage with ointment is recommended daily.
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