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DIEP Flap Reconstruction

DIEP Flap breast reconstruction is an advanced procedure that offers natural and long-lasting results. By carefully transferring tissue from the lower abdomen, we can create a soft and natural breast mound while preserving muscle function.

Understanding DIEP Flap Reconstructive Surgery

At Florida Breast Center, we know that the journey through breast cancer is deeply personal. When it comes to reconstruction, women deserve options that honor their bodies and their healing. One of the most advanced and effective approaches we offer is DIEP flap breast reconstruction – a procedure that uses your own natural tissue to create soft, lasting results while preserving muscle function.

Dr. Hugo St. Hilaire is a nationally respected leader in microsurgical breast reconstruction, known for both his innovation and his compassion. Together, our team is committed to walking with you every step of the way, making sure you feel informed, supported, and cared for throughout the entire process.

What Is DIEP Flap Reconstruction?

DIEP stands for Deep Inferior Epigastric Perforator – which refers to the tiny blood vessels used in this technique. During surgery, we gently transfer skin and fat from the lower abdomen to rebuild the breast. The tissue feels soft, looks natural, and is warmed by your own blood supply. Unlike older procedures, DIEP flap surgery spares the abdominal muscles, helping to maintain core strength and reduce recovery time.

Here’s how it works:

  • A slim incision is made low on the abdomen, similar to a tummy tuck.

  • Skin and fat, along with small feeding blood vessels, are carefully removed.

  • Under a microscope, these vessels are connected to healthy vessels in the chest to restore blood flow to the new breast.

  • Later, the nipple and areola can be reconstructed to complete the process.

Stacked Flap DIEP Reconstruction

For women who need additional volume or symmetry, stacked flap DIEP reconstruction may be recommended. This advanced microsurgical technique uses multiple layers of abdominal tissue to shape a fuller, more natural breast.

Benefits of stacked flap reconstruction include:

  • Natural feel and appearance using your own tissue

  • Reduced abdominal risk, preserving healthy tissue and minimizing complications

  • Improved symmetry and contour, allowing our surgeons to sculpt with greater precision

  • Customized results based on your individual goals and anatomy

SHAeP Flap Reconstruction: A Thoughtful Option for Leaner Patients

Some women may not have enough lower abdominal tissue for traditional DIEP flap surgery. In those cases, we may recommend SHAeP flap reconstruction, a variation that uses tissue from both the upper and lower abdomen. This approach allows for greater tissue volume without creating one large horizontal scar.

Key benefits of SHAeP flap reconstruction:

  • More available tissue, making it a great option for thinner patients or those with prior abdominal surgery

  • Minimal, discreet scarring with only two small incisions easily hidden beneath underwear or swimwear

  • Enhanced shaping, offering more contouring options for a natural result

Our Commitment to You

At Florida Breast Center, every woman is treated with care, dignity, and respect. We believe that breast reconstruction is about more than restoring a physical feature – it’s about restoring identity, confidence, and wholeness. That’s why we offer the most advanced techniques, paired with deeply personal support.

If you’ve been told that reconstruction wasn’t an option, or if you’re exploring your choices for the first time, we’re here to help. Let’s talk about what’s possible – together.

📞 Schedule a consultation with us today and take the first step toward feeling like yourself again.

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FAQ's about DIEP Flap Breast Reconstruction

DIEP Flap breast reconstruction is an advanced procedure that offers natural and long-lasting results. The procedure involves using blood vessels (deep inferior epigastric perforators), skin and fat from the lower abdomen to reconstruct a breast after mastectomy. Carefully transferring tissue from the lower abdomen allows us to create a soft and natural breast mound while preserving muscle function.

The DIEP flap breast reconstruction is often a one-stage operation, meaning that all of the reconstruction is completed at once – unlike other procedures requiring multiple surgeries and implants. However, in some cases, additional surgeries may be required for further contouring and symmetry. Your doctor will discuss the details of your surgery plan with you before proceeding.

DIEP flap breast reconstruction offers many advantages, including:

  • More natural-feeling breasts
  • Greater symmetry than implants alone
  • Preservation of abdominal strength and stability through muscle-sparing technique
  • Avoidance of foreign body implantation

It’s also an effective solution for those with limited donor skin or who have experienced radiation therapy after mastectomy.

Scars typically fade significantly over time. Additionally, for many women, the reconstructed breast can be firmer and have a more youthful appearance compared to their natural breasts. Your DIEP flap surgeon can provide more detailed information about your results during a consultation.

While every patient’s recovery may vary, a typical hospital stay for DIEP flap surgery lasts about 48 hours.

My results far exceeded my expectations. I am thankful to have Dr. ST. Hilaire in our area. I felt cared for and heard. My family has been through this twice with Dr. ST. Hilaire and the results have been very positive.

Julianne

Ready to Begin Your Healing Journey?

Your next step starts with a simple conversation. We’ll walk you through your options, answer your questions about natural tissue breast reconstruction, and help you make the decision that’s right for you.

Call us: 850-517-0013