DIEP Reconstruction - An Overview for Potential Patients

If you're facing a mastectomy, you've probably looked into the two basic forms of breast reconstructive surgery, the TRAM procedure and DIEP reconstruction. For the most part, more and more surgeons are looking to the DIEP (Deep Inferior Epigastric Artery Perforator) method, as it promises somewhat shorter recovery time and reduces the risk of hernia occurring in the aftermath. The technique, in general terms, involves taking tissue from the abdomen and using it to recreate the breast. There are numerous benefits to the procedure, not the least of which is the minor tummy tuck effect that many patients appreciate. Here is an overview for potential patients.

Benefits

When possible, surgeons prefer to do surgery using the patient's natural tissue. This is a more natural approach to surgery and it reduces the chances of the body rejecting a foreign substance. Many people have observed the advantages of DIEP reconstruction when compared to the older TRAM method, as patients are no longer limited to a 25 pound weight limit in terms of what they can lift after surgery, for fear of introducing hernia. Patients are also able to skip the muscular weaknesses in the abdominal area often associated with the TRAM method, which can make everyday life much more endurable while recovering.

Post Surgery

After your DIEP reconstruction, you can expect to have a breast contour as similar to your natural curves. Luckily, tools and technology surgeons have at their disposal improves with each passing year. In some cases, an additional surgery may be required to even out the breasts and correct any problems with symmetry that may have occurred. Implants may be introduced in some instances, although many surgeons prefer to use methods such as fat transfer instead. One of the most important things you can do in the lead up to making your decision is to ask your doctor for before and after pictures of previous patients. This will give you a good idea of what to expect.

Recovering from DIEP Reconstruction

The procedure is an in-patient one, particularly if you are having immediate surgery following your mastectomy. Expect a hospital stay of a few days and on up to a week, depending on your surgery center and what exactly you're having done. Once home, you should be able to resume your daily life, though taking it easy when it comes to heavy lifting. You may have to keep your drains in for a week or two as a way of reducing the swelling.