DIEP Flap Procedure
Dr. Orseck is pleased to offer the DIEP Flap (Deep Inferior Epigastric Artery Perforator) procedure to his patients. The DIEP Flap procedure is the most advanced breast reconstruction procedure available today and as opposed to previously used procedures, this procedure leaves all of the patient’s abdominal muscles intact, using only available skin and fat (the “flap”) for breast reconstruction.
Benefits of the DIEP Flap Procedure
- Deep inferior epigastric vessels that supply necessary blood are reattached to allow necessary blood flow to the replanted tissues, resulting in a more natural-looking and feeling breast
- Donor tissues taken from the abdominal wall is very similar to that found in breast tissue, which enhances the aesthetic outcome
- The rectus abdominis muscle in the abdomen is left intact, which reduces post-surgical pain and complications that pose higher risks as in other procedures
- Shortened recovery time and fewer long term effects
The DIEP Flap Procedure
The DIEP flap procedure is performed under general anesthesia and a hospital stay is less than 48 hours. While the DIEP flap procedure is major surgery, it is not as invasive as other surgeries. No body cavities are opened which lowers the risks normally associated with a more invasive surgery. Patients are monitored with a wireless signal that transmits directly to Dr. Orseck’s smart phone, allowing him to monitor the blood flow in your flap at all times!
During the surgery, an incision is made across the abdomen to reveal the underlying tissues. Tissues along with blood vessels are carefully harvested and prepared for relocation to the breast area. The abdominal incision is then closed, the flap tissue is relocated to the breast site and the blood vessels are reattached using microsurgery to return blood flow to the new breast. The newly-reconstructed breast is attached to the chest wall. After the incision is closed, sterile dressings are applied. After surgery, the blood flow to the new breast is carefully monitored with a specialized device.
In the event that a woman is not a candidate for the DIEP Flap procedure, a flap from the thigh (PAP) or buttock (GAP) may be used. Additionally, an alternative procedure called the tissue expander method which uses a saline implant which is then converted to a silicone implant is an option.