Although implant reconstruction is a good option for many women, we routinely see patients from across the globe who are unhappy with their results. At PRMA, we specialize in replacing implants with healthy living tissue through advanced procedures, such as the DIEP flap. This option offers a more natural, permanent solution without the long-term maintenance that implants require.

Why Some Women Choose to Remove Breast Implants

Breast implants are not lifetime devices. Over time, many women experience complications or dissatisfaction that lead them to explore other options. At PRMA, one of the most common reasons patients seek our expertise is to remove implants and transition to natural, tissue-based breast reconstruction. Common reasons women choose to remove implants include:

• Capsular contracture: A painful hardening of scar tissue around the implant.
• Discomfort or pain: Many women report persistent tightness, heaviness, or pressure.
• Foreign body concerns: Some prefer a natural reconstruction using their own tissue.
• Long-term maintenance and replacement concerns: Implants typically need replacement every 10–15 years.

Nationwide, there’s a growing trend toward implant removals and a rise in natural, flap-based reconstruction. As patients become more informed, many are choosing procedures like the DIEP flap for better comfort and peace of mind.

What Is DIEP Flap Reconstruction and Why It’s Different

DIEP flap breast reconstruction uses your own living skin and fatty tissue, usually from the lower abdomen, to reconstruct a soft, warm, natural-looking breast. Unlike implants, the DIEP flap offers a permanent solution that doesn’t require future replacements.

Key benefits of DIEP flap reconstruction:

• No implants are needed, which means no risk of rupture or capsular contracture.
• The reconstructed breast looks and feels like natural tissue.
• The tissue is taken from the abdomen, providing a flatter contour.
• There is no need for replacement surgeries.

Am I a Candidate for DIEP Flap After Implants?

Many women wonder if it’s possible to undergo DIEP flap surgery after previously having implant reconstruction—and the answer is yes.

At PRMA, we frequently perform implant removal and DIEP flap revision procedures for patients who have had prior mastectomy and implant reconstruction.

Considerations for Candidacy:

• Timing: DIEP flap can be done months or even years after initial implant surgery.
• Previous surgeries: Scar tissue and prior incisions are considered during surgical planning, but rarely disqualify patients.
• Vessel mapping: A specialized CTA scan enables us to assess the blood vessels in the abdomen, ensuring a safe and successful reconstruction.

Every patient’s case is unique, and our team works closely with you to develop the best plan based on your goals and anatomy.

What to Expect from the DIEP Flap Surgery and Recovery

Thanks to our Enhanced Recovery After Surgery (ERAS) protocol, most DIEP flap patients are up and walking within 24 hours of their procedure. The majority are able to return home within just two to three days, and many find they require little or no prescription pain medication during recovery.

To make the process as seamless as possible, PRMA also offers free virtual consultations to help you explore your options before traveling. For patients traveling from outside the San Antonio area, we provide dedicated support with travel planning and coordination to ensure a seamless experience from start to finish.

What You’ll Need to Plan For:

• CTA imaging for vessel mapping
• Travel and lodging arrangements (if coming from outside San Antonio)
• Post-operative support at home or with a loved one for the first week
• Time off work (typically 4–6 weeks, depending on your role and recovery pace)

Stage 1 

In the first stage, your breast implants are removed, and the DIEP flap reconstruction is performed using tissue from your abdomen. The microsurgical technique connects blood vessels from the abdominal flap to the chest, creating a healthy, living breast.

Initial results are often very close to the final outcome, although some patients may desire minor refinements.

Stage 2

Stage 2, typically done several months after healing, focuses on symmetry and refinement. This may include:

• Nipple reconstruction or tattooing (if not previously done)
• Fat grafting to improve contour
• Scar revision to improve aesthetics

Not all patients require or opt for a second stage—it’s entirely tailored to your goals.

Real Patient Experience: Michelle’s Journey to PRMA

Seventeen months ago, Michelle was diagnosed with breast cancer. After a double mastectomy, she chose implant reconstruction without realizing there were other options.

Shortly after surgery, she began experiencing persistent discomfort in her chest and shoulders. After doing her research, Michelle traveled from Cheboygan, Michigan, to San Antonio to have her implants removed and undergo DIEP flap reconstruction at PRMA.

Thanks to our ERAS protocol, Michelle went home just two days after surgery—and never needed to use prescription pain medication. Today, she says she feels more confident and at peace in her body.

Making an Informed Decision About Breast Reconstruction

We believe every woman deserves to understand all of her reconstructive options—before or after a mastectomy. Unfortunately, many patients are only presented with implant options and are unaware of alternatives like DIEP flap reconstruction.

At PRMA, we are committed to:

• Empowering patients through education
• Offering second opinions—even if you’ve already had reconstruction elsewhere
• Providing free virtual consultations to make access easier, wherever you live

Explore Your Reconstruction Options with PRMA in San Antonio

Considering breast reconstruction and want to learn more about your options? Fill out our free virtual consultation form today! Our team is here to help you make the most informed decision for your body and your future.