Undergoing breast reconstruction surgery can be a challenging and personal decision for women who have undergone a mastectomy. One popular and advanced technique for breast reconstruction is called DIEP flap microsurgery, which stands for Deep Inferior Epigastric Perforator. In this article, we will provide a detailed and easy-to-understand explanation of the DIEP flap microsurgery procedure, addressing various stages of the reader's journey from exploration to scheduling the surgery. We will also include personal stories and patient perspectives to enhance the readers' connection with the topic.
1. What is DIEP Flap Microsurgery?
DIEP flap microsurgery is a breast reconstruction technique that uses the patient's own abdominal tissue to rebuild the breast. Unlike traditional breast reconstruction methods, which often involve using synthetic implants or muscle tissue, DIEP flap microsurgery provides natural-looking and feeling results while minimizing scarring and potential complications.
In this procedure, a plastic surgeon carefully disconnects the blood vessels supplying the abdominal tissue, the deep inferior epigastric vessels. The abdominal tissue, along with its intact blood supply, is then transferred to the chest area to reconstruct the breast. This precise microsurgical technique ensures that the blood flow is maintained, allowing the tissue to heal and thrive in its new location.
One of the significant advantages of DIEP flap microsurgery is that it also involves a tummy tuck-like effect, as excess abdominal skin and fat are removed during the surgery, resulting in both breast reconstruction and improved body contour.
2. Are You a Candidate for DIEP Flap Microsurgery?
Not all women are suitable candidates for DIEP flap microsurgery. The ideal candidates for this procedure are women who have undergone a mastectomy, have enough excess abdominal tissue to reconstruct the breast, and are in reasonably good overall health. It is important to consult with a plastic surgeon experienced in DIEP flap microsurgery to determine if you are a suitable candidate.
The evaluation process typically includes a physical examination, medical history review, and a discussion about your expectations and goals. The surgeon will assess your abdominal tissue's quality, blood supply, and overall health to ensure the success of the procedure.
3. Preparing for DIEP Flap Microsurgery
Prior to the surgery, your plastic surgeon will provide you with a comprehensive list of preoperative instructions to follow. These instructions may include quitting smoking, avoiding certain medications and supplements, and maintaining a healthy lifestyle by eating a balanced diet and exercising regularly.
As part of the preparation, you may need to undergo additional medical tests to assess your overall health and suitability for surgery. Your surgeon will guide you through these steps and explain what to expect during the procedure and recovery.
4. The DIEP Flap Microsurgery Procedure
The DIEP flap microsurgery procedure is typically performed under general anesthesia and may take several hours to complete, depending on the complexity of your reconstruction. The surgery itself involves several steps:
- Step 1: Abdominal Incision - The surgeon makes an incision along the lower abdomen, usually within the bikini line, to access the excess abdominal tissue.
- Step 2: Dissection and Microsurgery - The surgeon meticulously dissects the abdominal tissue, carefully preserving the deep inferior epigastric vessels and connecting them to the blood vessels near the breast area. This is done using a microscope for precision.
- Step 3: Shaping and Positioning - The abdominal tissue is shaped and positioned to recreate a natural-looking breast mound. The surgeon takes into account symmetry, volume, and projection to mold the tissue to match the patient's desires and expectations.
- Step 4: Reconnecting Blood Vessels - Once the tissue is in place, the surgeon reconnects the blood vessels, ensuring proper blood flow to the transferred tissue for healing and survival.
- Step 5: Closing Incisions - The incisions in the abdomen and chest are carefully closed, usually using dissolvable sutures or surgical glue, leaving behind minimal visible scarring.
