loading
PRMA Proves Safety of DIEP Flap Reconstruction in Obese Patients

PRMA Proves Safety of DIEP Flap Reconstruction in Obese Patients

PRMA Proves Safety of DIEP Flap Reconstruction in Obese Patients

Is DIEP flap breast reconstruction safe for obese patients?

As more women choose the DIEP flap for breast reconstruction after mastectomy, some patients are unnecessarily turned away because they are overweight.

Surgeons at PRMA Plastic Surgery say that a lot of times these patients are more than likely good candidates even if they do have a higher than normal body weight.

Dr. Oscar Ochoa said that although previous studies suggest the TRAM flap is contraindicated in high risk populations, such as obese patients, DIEP flap reconstruction is much safer in the same high risk groups.

“Previous studies identified obesity as an important factor increasing flap and abdominal site complications following free and pedicled TRAM flap surgery, “ said Ochoa. “However, after studying 639 DIEP flaps in 418 consecutive PRMA patients, we found that overall flap and abdominal complications remain similar across all body mass index groups. In other words, being overweight did not increase the risk of losing a flap or developing abdominal bulging or a hernia after DIEP flap reconstruction in our patient population.”

Despite these findings, many surgeons continue to turn away patients with obesity.

PRMA patient Lisa Scheuplein said that she was turned away by two different surgeons who told her that she was too overweight for the DIEP flap.

“My first surgeon told me how much easier getting implants would be, but I didn’t want implants. The second one told me that I wasn’t a candidate for the DIEP flap and that he would not touch me unless I was a BMI of 25,” Scheuplein said.

It was around this time that Scheuplein says she found PRMA.

“I came in for a consult with Dr. Nastala who said I was a good candidate,” Scheuplein said. “So here I am, post-surgery and all is looking good. I am thankful to PRMA because they gave me a choice.”

PRMA surgeons say that DIEP flaps are safe in obese populations and may in fact be the recommended method of breast reconstruction in patients with a BMI less than 40.

Scheuplein says she is grateful that she finally had a choice and was able to have the surgery she wanted despite a BMI of 37.

“PRMA has the training and expertise to give women the choice of having the type of reconstruction they want,” says Scheuplein. “I think that is important when all of us facing these options did not have a choice when it came down to getting cancer.”

Read the full article in Plastic and Reconstructive Surgery 

Author: Dr. Oscar Ochoa and Brandy (Korman) Haslam

 

PRMA surgeons say that DIEP flaps are safe in obese populations and may in fact be the recommended method of breast reconstruction in patients with a BMI less than 40.

Sign Up for Our Monthly Newsletter

Online Form – Newsletter Signup

Continue Reading

Summer Scar Care: Minimizing Darkness for DIEP Flap and Breast Scars: Expert Tips from PRMA Plastic Surgery, DIEP Flap Recovery: A Six Week Guide, Understanding DIEP FLAP Reconstruction, Insurance and Breast Reconstruction, ERAS Protocol, restoring feeling after mastectomy, aesthetic plastic surgery, cosmetic surgery, TruSense®, High Definition DIEP flap

Summer Scar Care: Minimizing Darkness for DIEP Flap and Breast Scars: Expert Tips from PRMA Plastic Surgery

Summer Scar Care: Minimizing Darkness for DIEP Flap and Breast Scars: Expert Tips from PRMA Plastic Surgery June 09, 2023 Share on Facebook Twitter Linkedin We understand that caring for scars is a crucial part of the healing process for our patients. As summer approaches, it’s important to pay extra attention to scar care, particularly […]

Read More

Understanding DIEP FLAP Reconstruction, Insurance and Breast Reconstruction, ERAS Protocol, restoring feeling after mastectomy, aesthetic plastic surgery, cosmetic surgery, TruSense®, High Definition DIEP flap

Understanding DIEP Flap Reconstruction: FAQs, Recovery, and Best Practices

Understanding DIEP Flap Reconstruction: FAQs, Recovery, and Best Practices April 18, 2023 Share on Facebook Twitter Linkedin What is DIEP flap reconstruction surgery? DIEP flap reconstruction surgery, or Deep Inferior Epigastric Perforator flap surgery, is a type of breast reconstruction surgery that uses tissue from the lower abdomen to create a new breast after a […]

Read More

Dr Minas Chrysopoulo, PRMA Plastic Surgery, San Antonio & Stone Oak, Texas | Specialist in breast reconstruction, microsurgery, restoring feeling after mastectomy, aesthetic plastic surgery, cosmetic surgery, TruSense®, High Definition DIEP flap, Breast Implants

Unhappy with Your Implant Reconstruction Results? Here’s What You Can Do

Unhappy with Your Implants? April 05, 2023 Share on Facebook Twitter Linkedin Breast Reconstruction is a transformative surgery that helps many women feel whole again after battling breast cancer. While the procedure can be a significant step in your healing journey, it’s crucial to know what to do if you’re unhappy with your results.Be Honest […]

Read More

Enhanced Recovery After Surgery, ERAS Protocol, restoring feeling after mastectomy, aesthetic plastic surgery, cosmetic surgery, TruSense®, High Definition DIEP flap

Enhanced Recovery After Surgery (ERAS): The Future of Perioperative Care at PRMA Plastic Surgery

Enhanced Recovery After Surgery (ERAS): The Future of Perioperative Care at PRMA Plastic Surgery March 31, 2023 Share on Facebook Twitter Linkedin At PRMA Plastic Surgery, we are committed to providing the best possible care for our patients. That’s why we have adopted the Enhanced Recovery After Surgery (ERAS) approach to perioperative care. ERAS is […]

Read More

Preventative Breast Mastectomy: Taking Control of Your Breast Cancer Risk

Preventative Breast Mastectomy: Taking Control of Your Breast Cancer Risk March 23, 2023 Share on Facebook Twitter Linkedin Considering a Preventative Mastectomy?Whether you have a BRCA gene mutation or a family history of breast cancer, your doctor might have suggested a prophylactic mastectomy to lower your risk.This procedure, also known as a preventative mastectomy, removes […]

Read More

Is an ICU stay needed after DIEP flap breast reconstruction?

No ICU Stay Needed: PRMA’s Advanced Surgical Techniques and Recovery Protocols

No ICU Stay Needed: PRMA’s Advanced Surgical Techniques and Recovery Protocols March 22, 2023 Share on Facebook Twitter Linkedin DIEP (Deep Inferior Epigastric Perforator) flap surgery is a popular breast reconstruction surgery that uses a patient’s own abdominal tissue to reconstruct the breast after a mastectomy. This procedure is becoming increasingly popular due to its […]

Read More

TruSense®️| Prevent numbness and restore feeling after a mastectomy

TruSense®

TruSense® March 15, 2023 Share on Facebook Twitter Linkedin Breast cancer is a devastating diagnosis that affects millions of women every year. For many women, a mastectomy is the recommended course of action to remove the cancerous tissue. While a mastectomy can be lifesaving, it often comes with the undesired side effect of lost sensation […]

Read More

Sarah Bock, PA-C, PRMA Plastic Surgery, San Antonio, Texas, Stone Oak | Specialist in breast reconstruction, microsurgery, restoring feeing after mastectomy, aesthetic plastic surgery, TruSense®, High Definition DIEP

What to Know if You Start Your Period Before a Surgery: Expert Advice for Women

What to Know if You Start Your Period Before a Surgery: Expert Advice for Women March 10, 2023 Share on Facebook Twitter Linkedin What Happens if You Start Your Period Before Surgery? Starting your period before a surgery can be a cause of concern for many women. It is important to understand that surgery puts […]

Read More

Dr Steven Pisano, San Antonio, Texas, Stone Oak | Specialist in breast reconstruction, microsurgery, restoring feeling after mastectomy, TruSense®, High Definition DIEP

Too Thin For DIEP Flap? You May Have Other Flap Options!

Too Thin For DIEP Flap? You May Still Be A Flap Candidate! March 03, 2023 Share on Facebook Twitter Linkedin What happens if you are too thin for DIEP flap surgery? At PRMA we have successfully performed DIEP flap reconstructions on women with BMI’s of 20 and even less. For those who are deemed “Too […]

Read More

Breast Reconstruction

How Long Will I Be Out Of Work After DIEP Flap Breast Reconstruction Surgery?

How Long Will I Be Out Of Work After DIEP Flap Breast Reconstruction? January 31, 2023 Share on Facebook Twitter Linkedin DIEP Flap Breast Reconstruction is a major surgery that requires planning, support, and 4-6 weeks of recovery time. The exact length of time off work after a DIEP flap will depend on several factors, […]

Read More

post-img
Prev post

Immediate Breast Reconstruction Plays Significant Role in Physical and Psychological Wellbeing

Next post

Breast Density and Risk of Breast Cancer – What’s the Scoop?

post-img
Subscribe Newsletter