Marietta Plastic Surgery
Breast Reconstruction
(DIEP Flap)

• Before Surgery
• Procedure
• After Surgery
• Recovery
• Before and After Photos

Survivors of breast cancer have a new and better alternative in breast reconstruction. Deep Inferior Epigastric Perforator, or DIEP flap breast reconstruction reconstructs breasts while preserving the abdominal muscles that are usually sacrificed in traditional reconstructive breast surgery. This advanced technique offers breast reconstruction without risking the quality of a patient's life.

Because DIEP flap reconstruction is a very technically demanding procedure requiring additional training not only in microsurgical technique but also in muscle sparing flap dissection techniques, there are less than 10 centers in the country that routinely perform this operation. Dr. Fabian, a plastic surgeon trained in breast reconstructive microsurgery, brings this amazing medical advancement to Atlanta.

.Before Surgery

1. Avoid taking any medicines containing aspirin or ibuprofen during the two weeks prior to surgery.
2. Be certain you do not have a cold or sunburn the day of surgery.
3. Eat a balanced nutrient-rich diet before and after surgery. A healthy diet will help speed recovery.
4. Do not eat or drink after midnight the night before surgery, unless instructed differently by our anesthesia provider.
5. Do not wear make-up or contact lenses to surgery.
6. You will need to stay in the hospital for 2-4 days after the surgery.

The Procedure

Breast reconstruction typically takes four to six hours depending on the extent of the procedure. Patients are given general anesthesia during this procedure. Lower abdominal skin and fat are still used in the reconstruction. The blood vessels are attached to blood vessels in the chest using an operating microscope and high magnification.

1. After the patient is anesthetized, the surgeon follows the blood vessels through the abdominal muscle.
2. The abdominal muscles are preserved in their original anatomic position.
3. The abdominal tissue is removed from the body and transplanted to the area of the breast.
4. The blood vessels are attached to blood vessels in the chest using an operating microscope and high magnification.
5. Stitches are used to close the incisions, which may also be taped for greater support. A gauze bandage may be applied over your breasts to help with healing.

After Surgery

After the procedure, you will need to stay in the hospital for 2-5 days. Some patients may experience some numbness, bruising, swelling or discomfort at the incision sight. This is normal and will pass with time. Incision site pain is usually minimal, and can be controlled with medication, if necessary. Breasts will be bruised, swollen, and uncomfortable for at least a day or two. Plan on getting plenty of rest and allowing your body to heal.

Patients may also experience under-sensitivity, oversensitivity, or numbness in the breast skin. These symptoms usually fade as the swelling subsides over the next six weeks or so. In some patients, however, it may last a year or more, and occasionally may be permanent.

Breast skin may be very dry following surgery. You may apply a moisturizer several times a day, but be careful not to tug at your skin in the process, and keep the moisturizer away from the suture areas.

Recovery

Most patients are back at work within 3-4 weeks after surgery but should continue to take it easy for four to six weeks. Although patients are ready to return to work or school, they should plan to limit rigorous activity for one month. After that, you can resume these activities slowly. Also avoid lifting anything over your head for three to four weeks. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once you breasts are no longer sore. Because you have undergone invasive surgery, you'll probably have less energy for the first two weeks, but by the third week, you'll look and feel much better. If you have any questions or concerns, please contact our offices.

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