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.
Adding Implants During DIEP Flap Breast Reconstruction
Alternative Flap Options if You are not a Candidate for DIEP Flap Breast Reconstruction
Terri
Dr. C, I wish all women considering DIEPFlap surgery could have this valuable information. Because I had a double whammy: 1. Delayed DIEP (7 months after my double mastectomy) & 2. A left breast that was radiated 12 yrs. prior to my DIEPFLAP my damaged, radiated skin that included scar tissue was replaced by healthy tissue. Women need to know it is possible and the inquiry is definitely worth it to see if they are a candidate. Additionally, I’d like to say that I am grateful I found a world class, skilled surgeon to perform my DIEPFlap surgery and that surgeon was you!! Thank you for your dedication, passion and always doing what you can to inform women about this life-changing surgery. ~ Terri
PRMA Plastic Surgery
Our pleasure Terri! Honored to play a part! Thank you so much for all you do to help others through your patient advocacy and diepcjourney.com!
Cheryl
I will soon be having a bi-lateral mastectomy for breast cancer and was wondering if I would be a candidate for DIEP flap reconstruction. Two years ago I had abdominal surgery for LG-ESS and radiation to the abdominal area. I also have an umbilical hernia about 6cm. Would this radiation treatment prevent DIEP flap as an option for reconstruction?
PRMA Plastic Surgery
Hey Cheryl! It is hard to say without a physical examination by a board-certified plastic surgeon who performs the DIEP flap. I would recommend consulting with someone before your mastectomy if possible. If you are not a DIEP flap candidate, there are other tissue flap options such at the TUG or the GAP flap you may be interested it. Please reach out with any questions!
Anonymous
Spot on with this write-up, I absolutely feel this website needs a great deal more attention. I’ll probably be back again to see more, thanks for the information!
Tina
This is good information and although my Plastic Surgeon told me that I’m not a candidate for DIEP, I was still holding out hope. My double mastectormy was in April 2014. It was suppose to be nipple and skin sparing but after 10 hours of surgery I woke up with NOTHING. My skin died during surgery so all plans were out the window…two years and 6 surgeries later and I hate the way I look and am looking for other opinions. I have a lat flap on my right side (the radiated side) and the scar on my back looks like I was in a gang knife fight, it’s horrible. In 2009 I had a lower body lift after accomplishing a weight loss of 130 pounds…much to my surprise I would be diagnosed with breast cancer in 2010 and then get pregnant in 2011. So, here I am…looking for options to once again feel “normal”.
PRMA Plastic Surgery
Sweet Tina I hate to hear that you have gone through this! There are other options available using your tissue like the TUG or the GAP. We would be more than happy to set up a consultation with you with one of our board certified surgeons to discuss your options! Please give us a call any time at 800-692-5565
Elaine
I am thin and have small breasts and will be having a left side mastectomy. I weight a 110lbs. and am 5’3”. I think I am too thin to have a DIEP.
PRMA Plastic Surgery
Hey Elaine! Thanks so much for reaching out. Your lower BMI does not necessarily impact whether or not you are a candidate for the DIEP flap or not. It really depends how you carry the weight you do have. It is always best to have one of our surgeons provide you with their recommendations. You can easily do this by setting up a consultation in the office, or you can fill out our free virtual consultation form found at https://prma-enhance.com/schedule-your-consultation/. Hope to hear from you soon!
Anonymous
wow… Its good blog and thanks to post it. DIEP flap breast reconstruction is a great option for women who have undergone a mastectomy.
Jo Hodges
I am a candidate! 19 years post double mastectomy… anybody ever put off the procedure(s) due to anesthesia issues?
Sherry Stanisic
Diep possible? : Healthy 48 yr old 95 lbs,2 classical sections ‘97 due to hydrocephalic baby ,‘99, prophylactic mastectomy to take place soon….
PRMA Plastic Surgery
Hey Sherry! We would be honored to evaluate your needs and provide you with our opinion on if you are a DIEP flap candidate. Although weight and age are something we consider, it isn’t the full picture when determining what breast reconstruction may be the best option. We welcome you to fill out our free virtual consultation form at https://prma-enhance.com/consultation/. Once received, our board-certified plastic surgeons can review your needs and provide you with their recommendations.
Rebecca Glover
Hi, I am a AA cup and had a right side single mastectomy in 2017 ( herceptin and chemo, no radiotherapy ) I am a slim build, 51 kilos, 1.67m. I am hoping that although I’m slim, that I might be a suitable for a DIEP reconstruction. I am hoping to be a B cup on both sides. I know a surgeon would need to do a physical exam but just with my info, I wonder if you could advise if a DIEP could be a possibility? Thank you
PRMA Plastic Surgery
Hey Rebecca! We would be honored to evaluate your needs and provide you with our opinion on if you are a DIEP flap candidate. Although weight is something we consider, it isn’t the full picture when determining what breast reconstruction may be the best option and what breast size you should expect. We welcome you to fill out our free virtual consultation form at https://prma-enhance.com/consultation/. Once received, our board-certified plastic surgeons can review your needs and provide you with their recommendations.
Typicalcat51
Wow! This can be one of the most beneficial blogs we’ve ever come across on thesubject. Actually magnificent info! I’m also a specialist in this topic so I can understand your hard work
Anonymous
What has to be an ideal weight for a DIEP surgery. I had a double Mastectomy this year.
PRMA Plastic Surgery
Great question. There is no ‘ideal weight’ for DIEP flap reconstruction. Weight distribution and desired breast size is typically a better indicator on whether a patient is a good candidate for DIEP flap.
Anonymous
I’m looking to get a diep flat surgery done in about 6-8 months. What is an ideal weight you have to be to qualify for the surgery.
PRMA Plastic Surgery
There is no ‘ideal weight’ for DIEP flap reconstruction. Weight distribution and desired breast size is typically a better indicator on whether a patient is a good candidate for DIEP flap.
Suzy
How long after mastectomy and radiation must you wait before the possibility of having DIEP flap surgery for reconstruction?
PRMA Plastic Surgery
Great question Suzy! DIEP flap reconstruction is a safe option following mastectomy and radiation. At PRMA we ask patients to wait at least 6 weeks after their last radiation treatment before undergoing surgery. In some cases, we may recommend delaying reconstruction surgery for a few months depending on how the chest skin is healing after radiation.