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Deep Inferior Epigastric Perforator Flap (DIEP Flap)

The DIEP Flap procedure, the most common perforator flap for breast reconstruction, replaces the skin and soft tissue removed at mastectomy with soft, warm, living tissue by borrowing skin and fatty tissue from the abdomen. An incision is made in the lower abdominal skin, and the necessary skin and soft tissue are removed. Tiny feeding blood vessels are matched to supplying vessels at the mastectomy site and reattached under a microscope. Tissues are then surgically transformed into a new breast mound, restoration of the nipple and areola follows and scars fade with time.

For many women, the reconstructed breast may be firmer and have a more youthful appearance than their natural breasts. In addition to reconstructing the breast, the contour of the abdomen is often improved much like a tummy tuck.

Total Mastectomy - DIEP Flap Reconstruction with DIEP

Total Mastectomy

Reconstruction with DIEP years later

photos courtesty of www.joshualevinemd.com

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