loading
Second Stage DIEP Flap Surgery

Second Stage DIEP Flap Surgery

Second Stage DIEP Flap Surgery - PRMA Plastic Surgery

DIEP flap breast reconstruction is typically comprised of at least two stages for the best outcomes.  The second stage of surgery is commonly referred to as the “revision” stage and is usually performed about three months after the initial reconstruction.  The purpose of the second stage of DIEP surgery is to fine-tune the reconstructed breast and improve the overall cosmetic results.

Second stage surgery is outpatient (meaning patients do not need to stay overnight in the hospital), and usually takes about 2-3 hours.

What is involved in the second stage of DIEP flap surgery?

During this procedure, the surgeon takes care to shape and modify the breast(s) to make them as symmetrical as possible.  The surgeon’s approach to these revisions can include a variety of surgical procedures.

Fat Grafting:

Surgeons often perform fat grafting to correct contour irregularities.  Fat grafting can also be used to address size discrepancies. During this procedure, fat is liposuctioned from one part of the patient’s body, purified and then injected into the breast.

Scar Revision:

Scaring on the reconstructed breast as well as the donor site scar (the scar from where the tissue was taken) is revised to minimize its appearance as much as possible and improve the contour of the donor site.

Nipple Reconstruction:

Nipple reconstruction is also performed at this stage whenever possible if the patient did not have a nipple-sparing mastectomy. Although there are many different ways to perform nipple reconstruction, at PRMA we use the “bow-tie” method.  The procedure gets it’s name from the bow-tie shaped incision used to create the new nipple. If desired, the reconstructed nipple and areola are later tattooed to add color. Patients can choose between a 2D tattoo that adds color only, or a 3D tattoo which also adds more detail (e.g. Montgomery glands) to make the final result even more realistic.

 

If the reconstruction was performed as a unilateral (one-sided) procedure, stage two surgery usually also involves symmetry surgery on the native breast to match the reconstructed breast as closely as possible if this was not performed at the first surgery.  This may be achieved by means of lifting (mastopexy) and/or reducing the native breast.

 

Author: Dr. Ramon Garza III and Courtney Floyd

 

DIEP flap breast reconstruction is typically comprised of at least two stages for the best outcomes.  The second stage of surgery is commonly referred to as the “revision” stage and is usually performed about three months after the initial reconstruction.  The purpose of the second stage of DIEP surgery is to fine-tune the reconstructed breast and improve the overall cosmetic results.

Sign Up for Our Monthly Newsletter

Online Form – Newsletter Signup

Continue Reading

Hospital Stay After DIEP Flap Breast Reconstruction_ What to Expect

Hospital Stay After DIEP Flap Breast Reconstruction: What to Expect

Hospital Stay After DIEP Flap Breast Reconstruction: What to Expect December 09, 2020 Share on Facebook Twitter Linkedin Following DIEP flap breast reconstruction, patients are typically in the hospital for about 2-3 days.  During that time, patients often wonder what they should expect. Here is what a typical hospital stay for PRMA patients entails… Flap […]

Read More

Breast Reconstruction Surgery and Your Period

Breast Reconstruction Surgery and Your Period

Breast Reconstruction Surgery and Your Period December 02, 2020 Share on Facebook Twitter Linkedin During our pre-operative appointment with patients, a topic that occasionally arises is menstrual cycles.  It is completely normal for women to experience changes with their periods throughout breast cancer treatments.  These can be temporary or permanent.  Periods can be unpredictable following […]

Read More

What Bras and Abdominal Girdles to Wear After Breast Reconstruction Surgery

What Bras and Abdominal Girdles to Wear After Breast Reconstruction Surgery November 17, 2020 Share on Facebook Twitter Linkedin When preparing for breast reconstruction surgery, many patients want to know what types of bras and abdominal girdles they should plan to wear after surgery. Although every surgeon has slightly different preferences, we have put together […]

Read More

My 5 DIEP Flap Realities | A Guest Blog From Julie

My 5 DIEP Flap Realities October 28, 2020 Share on Facebook Twitter Linkedin Hi everyone, my name is Julie from It’s a Bosom Thing. I am so happy to be here as a guest blogger and have this opportunity to share with you a few thoughts about life after DIEP Flap Surgery. I was diagnosed […]

Read More

bra day 2020

PRMA’s BRA Day Virtual Event Recap

PRMA’s BRA Day Virtual Event Recap September 08, 2020 Share on Facebook Twitter Linkedin Yesterday we celebrated Breast Reconstruction Awareness day! Although we missed seeing everyone in person this year, we were still able to spread education and awareness on ALL reconstructive options through our virtual efforts.  We were also able to share information on […]

Read More

Second Stage DIEP Flap Surgery

Second Stage DIEP Flap Surgery

Second Stage DIEP Flap Surgery September 08, 2020 Share on Facebook Twitter Linkedin DIEP flap breast reconstruction is typically comprised of at least two stages for the best outcomes.  The second stage of surgery is commonly referred to as the “revision” stage and is usually performed about three months after the initial reconstruction.  The purpose […]

Read More

flaps good option for breast reconstruction_ PRMA Plastic Surgery

If ‘Flaps’ Are Such A Great Breast Reconstruction Option, Why Doesn’t Everyone Get Them?

If ‘Flaps’ Are Such A Great Breast Reconstruction Option, Why Doesn’t Everyone Get Them? September 08, 2020 Share on Facebook Twitter Linkedin Flap-based breast reconstruction procedures, like the DIEP flap, offer patients a safe, natural implant-alternative option to reconstruction after a mastectomy.  Flap surgeries are permanent and are associated with fewer complications after radiation when […]

Read More

Skin Island in Breast Reconstruction _ PRMA Plastic Surgery

What is a Skin Island and How is it Used in Breast Reconstruction?

What is a Skin Island and How is it Used in Breast Reconstruction? September 08, 2020 Share on Facebook Twitter Linkedin What is a “skin island”? The term “skin island” is used to describe the remaining visible skin from a transplanted “flap” of tissue. In the setting of DIEP flap breast reconstruction, the skin island […]

Read More

comparing apex and diep flap

Comparing APEX Flap and DIEP Flap Breast Reconstruction

Comparing APEX Flap and DIEP Flap Breast Reconstruction August 10, 2020 Share on Facebook Twitter Linkedin We have been receiving numerous inquiries about the “APEX flap” recently.  Patients want to know what it is and how it differs from the DIEP flap. APEX is an acronym that stands for “Abdominal Perforator Exchange”.  Many patients believe […]

Read More

Monitoring the Health of Your Flap During & After Surgery PRMA Plastic Surgery

Monitoring the Health of Your Flap During & After Surgery

​Monitoring the Health of Your Flap During & After Surgery July 21, 2020 Share on Facebook Twitter Linkedin Autologous flap (or tissue) breast reconstruction procedures represent today’s most advanced options for rebuilding a breast(s) following mastectomy. The most commonly performed method of flap-based reconstruction at PRMA is the DIEP flap. During this procedure, surgeons transplant skin […]

Read More

post-img
Prev post

If ‘Flaps’ Are Such A Great Breast Reconstruction Option, Why Doesn’t Everyone Get Them?

Next post

PRMA’s BRA Day Virtual Event Recap

post-img
Subscribe Newsletter