It’s a question we hear often—and one we’re happy to answer with a reassuring no. Age alone does not disqualify you from being a candidate for DIEP flap breast reconstruction. In fact, many women in their 60s, 70s, and beyond choose natural tissue reconstruction and experience excellent outcomes. 

We’ve had the privilege of guiding thousands of women across all stages of life—including older adults from San Antonio and across the U.S.—through their breast reconstruction journey. If you’re considering reconstruction and wondering if it’s “too late,” know that your options may be more open than you think.

What Are the Key Factors That Determine DIEP Flap Candidacy?

While age alone doesn’t define your eligibility for DIEP flap reconstruction, several health and lifestyle factors play an important role. Here’s what we consider:

  • Overall Health: Your general wellness, including blood pressure, heart health, and any conditions like diabetes, helps determine how your body may respond to surgery and healing. 
  • BMI Range: Your body mass index (BMI) helps assess surgical risk. We typically recommend a BMI under 40 for DIEP flap procedures to ensure the safest possible outcomes. 
  • Abdominal Tissue Availability: Because DIEP flap uses your own lower abdominal tissue to recreate a natural breast, having enough soft tissue in that area is essential. 
  • Lifestyle Factors: Healthy habits make a big difference. Quitting smoking, managing medications, and following pre-surgery instructions all help support safe healing and long-term results. 
  • Surgical History: C-sections, hysterectomies, or prior liposuction don’t automatically disqualify you from DIEP flap. Our experienced reconstructive surgeons will carefully review your history to create a plan that’s right for you.


“If you’ve had a tummy tuck, ask your surgeon about alternative flap options like 
GAP or TUG.”
-PRMA Provider


Recovering from DIEP Flap Surgery After 50: What You Need to Know

Recovery after DIEP flap surgery is very manageable at any age—but if you’re over 50, there are a few extra considerations to keep in mind. Healing may take slightly longer, so giving your body time to rest is key. Maintaining good nutrition, staying active with light movement, and managing any existing health conditions—like diabetes or high blood pressure—can all support a smoother recovery. 


Why Age Alone Shouldn’t Limit Your Reconstruction Options

We believe every woman deserves the opportunity to feel whole again, regardless of age. That’s why we evaluate each patient holistically, considering your overall health, goals, and lifestyle, not just your birthdate. 

Thanks to advancements in microsurgical techniques and our Enhanced Recovery After Surgery (ERAS) protocols, patients in their 60s, 70s, and beyond are experiencing safe, successful outcomes with DIEP flap reconstruction. With the right plan, age doesn’t have to be a barrier; it can simply be part of your story.


“We’ve helped women in their 60s and even 70s achieve life-changing results with DIEP flap reconstruction.”
-PRMA Surgeon


Still Unsure If You’re a Candidate? Let PRMA Help You Decide

If you’ve been wondering whether you’re “too old” for DIEP flap breast reconstruction, we hope this has brought you peace of mind. Age is just one piece of the puzzle—what truly matters is your overall health, goals, and readiness to take the next step.

With decades of experience and a compassionate team of board-certified reconstructive surgeons by your side, you don’t have to navigate this decision alone. If you’re considering reconstruction and want to know what’s possible, we invite you to complete our online consultation form today.

We’re here to help you feel empowered, informed, and supported, every step of the way.

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