Over the years, implant-based breast reconstruction has become a common choice following mastectomy. Yet, more and more women are seeking alternatives that better align with their long-term health, body confidence, and lifestyle goals. For many, that means turning to natural tissue reconstruction—specifically, the DIEP flap procedure. 

The DIEP (Deep Inferior Epigastric Perforator) flap procedure uses a woman’s own abdominal skin and fat to reconstruct the breast, resulting in a soft, natural-looking breast. And with innovations like High Def DIEP® and TruSense® sensation restoration, DIEP flap results at PRMA are taken even further, offering the potential to restore feeling after mastectomy. 

But these are just a couple of reasons the DIEP flap is gaining popularity. In this article, we’ll explore some other reasons why more women are choosing natural breast reconstruction options. 

Reason #1: To Achieve a More Natural Look and Feel

Many women prefer the DIEP flap for breast reconstruction because it uses lower tummy tissue that feels natural, unlike implants, which can feel firm and cold. After a mastectomy, the DIEP flap creates a warm, soft breast and can restore some sensation through nerve reconstruction.

In general, the aesthetic and sensory benefits of a tissue-based breast reconstruction include:

• Warm, soft, natural breast tissue
• Better symmetry
• Reduced risk of breast coldness or firmness
• The potential for nerve sensation restoration

“I chose DIEP Flap because I did not want implants or anything foreign in my body. I wanted natural-looking, warm-feeling breasts” —Carla.

Reason #2: To Avoid Switching from Implants to DIEP Flap Down the Line

Implant breast reconstruction is common, but for some women, it wasn’t the best option. Some women simply don’t like the result of their implant reconstruction(s). Other women experience complications related to implant reconstruction and need to have them removed or replaced. This is a common scenario, and in most of these cases, women choose to just remove their implants and undergo DIEP flap reconstruction.

DIEP Flap vs. Implants

“Studies show that 1 in 3 implant reconstructions fail after radiation.”

Reason #3: To Avoid Future Surgeries

Another big reason women choose DIEP flap reconstruction over implants is longevity. While breast implants may seem like a simpler solution up front, they often come with an expiration date. Most implants will need to be replaced eventually, and many patients require multiple revision surgeries over their lifetime due to issues like rupture, capsular contracture, or changes in appearance.

“I didn’t want to deal with implant exchange surgeries decades down the road, as I read varying reports on how long implants would last until they had to be replaced. DIEP is for life.” —Misty.

Reason #4: To Avoid Complications with Radiation Treatment

For patients who have undergone radiation therapy, the DIEP flap is often a safer, more reliable reconstruction option. Radiation can significantly impact the skin and chest wall, making it harder for the body to accept implants. In fact, studies show that up to 1 in 3 implant-based reconstructions fail after radiation due to complications like poor healing, capsular contracture, or outright implant rejection.

Reason #5: To Get the Added Benefits of a Tummy Tuck 

Finally, many women choose DIEP flap reconstruction because it offers a unique dual benefit: breast reconstruction and a flatter, more contoured abdomen, similar to the results of a tummy tuck. Since the procedure uses excess skin and fat from the lower belly to recreate the breast, patients regain a soft, natural-looking breast and experience an improved abdominal profile. 

For women seeking to feel more like themselves again after cancer, this added aesthetic benefit can be a welcome and empowering part of the healing process.

Discover Why PRMA Is a National Leader in Natural Breast Reconstruction Options

With benefits like permanent results, a softer and more natural feel, reduced risks after radiation, and even a flatter abdomen, it’s no surprise that more women are turning to DIEP flap breast reconstruction. At PRMA, our dual-surgeon approach, cutting-edge techniques like High Def DIEP® and TruSense®, and unwavering commitment to patient care have made us a national destination for women seeking the best breast reconstruction. 

Contact PRMA today to explore your options and see for yourself why we’re leading the way in DIEP flap excellence. Your journey to reclaiming wholeness starts here.