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Plastic Surgery
>
Breast
Reconstruction >
DIEP
The Deep Inferior Epigastric Perforator (DIEP)
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A slim
incision
along the
bikini
line
is made
much like
that used
for a
tummy
tuck. |
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The
necessary
skin, soft
tissue,
and tiny
feeding
blood
vessels
are
removed. |
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These tiny
blood
vessels
are then
matched to
supplying
vessels
at the
mastectomy
site and
reattached
under a
microscope. |
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Because the DIEP is a more complex operation, extra operative time is required. However, the recovery time and amount of post-op pain are reduced, leading to shorter hospital stays and quicker return to activities and work. There are very few surgeons who are capable of performing this reconstruction and Dr. Snyder is proud to be one of the pioneers in this new technique. Perforator flaps represent the state of the art in breast reconstruction. Replacing the skin and soft tissue removed at mastectomy with soft, warm, living tissue is accomplished by borrowing skin and fatty tissue from the abdomen.
A slim incision along the bikini line is made much like that used for a tummy tuck. The necessary skin, soft tissue, and tiny feeding blood vessels are removed. These tiny blood vessels are matched to supplying vessels at the mastectomy site and reattached under a microscope.
Unlike conventional TRAM flap reconstructions, use of our refined perforator flap techniques allow for collection of this tissue without sacrifice of underlying abdominal muscles. This tissue is then surgically transformed into a new breast mound. The abdomen is the most common donor site, since excess fat and skin are usually found in this area. In addition to reconstructing the breast the contour of the abdomen is often improved much like a tummy tuck.
Restoration of the nipple and areola follow. Scars fade substantially with time. For many women the reconstructed breast may be firmer and have a more youthful appearance than their natural breasts.
DIEP flap breast reconstruction results in the creation of a "natural" breast without muscle removal. One in nine women develops breast cancer with some requiring mastectomy for treatment. Psychological and emotional benefits associated with breast reconstruction are huge.
Implant reconstruction superficially appears simple, however, the body's reactions to an implant and consequences thereof frequently require further surgery. Additionally, the safety of breast implants is controversial.
For more information on any of these
services or to make an appointment,
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