Second Stage Diep Flap Surgery Recovery Time — Strong As A Mother Shirt

Thursday, 11 July 2024
All the options require the use of microsurgery and reconnection of the blood vessels in the chest. But that weakness will get better over time and once you return to your full activity level. "Most patients start to feel like themselves again after about four to six weeks, " Largo says. What Is Second Stage Surgery? The more areas and the more aggressive liposuction that was performed, it means you're going to be sore longer and have to wear compression longer.

Second Stage Diep Flap Surgery Of The Hand

Although the second stage commonly is associated with nipple reconstruction, the nipple should only be placed once the breast shape is optimal. If the patient is opposed to prosthetic material, a latissimus flap can fill in a defect on any quadrant. It wasn't pain so much, but rather, it was soreness I experienced, probably due to liposuction. "But we can take tissue from other parts of the body if that is better for the patient, based on their lifestyle, body shape, occupation or previous surgical scars. DIEP Flap Surgery in Nashville, TN. The free MS-TRAM flap and DIEP free flap are very similar to each other; in one (MS-TRAM flap) you just take a small piece of muscle, and in the other one (DIEP flap) no muscle. The gluteal free flap might be an option for women who cannot or do not wish to use the tummy site because they are thin, have previous incisions, have had a previous tummy tuck, or for other reasons, but it's not offered at all surgical centers. This requires the use of a microscope (microsurgery) to connect the tiny vessels, and the surgery takes longer than a pedicle flap. Chances are your new breast won't look exactly like your natural one did. Because DIEP flap breast reconstruction uses patients' own tissue to recreate their breasts, there is no need for routine maintenance screenings or surgery. How long does phase 2 surgery take? These ligaments run throughout the breast tissue parenchyma from the deep fascia beneath the breast and attach to the dermis of the skin.

Second Stage Diep Flap Surgery Cigna

When is phase 2 done? Advise the patient to avoid tobacco products for 8 weeks prior to surgery. At The Breast Center Park Meadows Cosmetic Surgery, we proudly welcome women from Denver, Lone Tree, and nearby areas of Colorado. Most times the tummy provides enough tissue for breast reconstruction, so no breast implants are needed. They use a multi-disciplinary approach to breast reconstruction that includes: The DIEP flap procedure differs from other breast reconstruction surgeries because the surgeon leaves your abdomen muscles in place. Factors to consider in breast reconstruction. The removal of fat is done with liposuction, and this liposuction is an opportunity to improve the contour of the donor area. Breast Transverse Rectus Abdominus Muscle Procedure. The patient may not want a contralateral reduction, or the flap may have some necrosis, requiring a partial resection. Fat grafting can also be used to address size discrepancies. They aren't mind readers!

What Is A Diep Flap Surgery

Thoracodorsal artery perforator (TAP) flap: This procedure uses skin and fat from the upper back and a small portion of the latissimus dorsi muscle. Initial reconstruction with autogenous tissue. And this tailoring is generally done along the existing scars that you already have. While breast reconstruction in a single operation is possible for some women, the majority of women will require more than one procedure, typically over several months. A retrospective study by Patel et al indicated that in patients who undergo flap-based salvage reconstruction in radiated breast tissue, latissimus dorsi flaps (plus implants) and abdominally based flaps (consisting of muscle-sparing TRAM or DIEP flaps) have similar postoperative complication rates. In addition, DIEP flaps may be a superior option to TRAM flaps for reconstruction in the context of PMRT.

After Diep Flap Surgery

Nipple reconstruction: For women who are not candidates for a nipple-preserving mastectomy, traditional nipple reconstruction may be performed using the skin of the reconstructed breast to create small flaps, which are shaped to resemble a nipple that projects from the breast. How Is Second Stage Surgery Performed? During a TRAM reconstruction, abdominal muscles, skin, fat, and blood vessels are removed from the abdomen to reconstruct the breast. Your plastic surgeon may recommend a two-stage procedure. During this stage of the reconstruction, we can address any issues you have with your new breast and improve the aesthetic appearance compared to your initial operation. Dog ears are harmless deposits of skin and fat that fold or droop over the incision scar. During a mastectomy, nerves are cut causing a loss of sensation (feeling) on that side.

Second Stage Diep Flap Surgery Cost

So take frequent naps/rest breaks — no guilt allowed! A variation of the DIEP flap, the superficial inferior epigastric artery (SIEA) flap uses the same abdominal tissue but relies on blood vessels that aren't as deep within the abdomen. During phase 2, symmetry of your breasts can be addressed. Philadelphia: Wolters Kluwer Health; 2014. In these cases, or for any woman who has already had a mastectomy without reconstruction, delayed breast reconstruction is often a viable option. We only work with cancer patients, so we understand what patients face, " Chu says. Again, be clear about expectations. As a result, the fat tissues without enough blood harden and die, causing lumps in the reconstructed breast. DIEP flap surgery has several advantages compared to an implant-based reconstruction.

Second Stage Diep Flap Surgery Side Effects

Other possible donor site areas for breast free flap reconstruction are the thighs, buttocks, and lower back. Your plastic surgeon will describe your surgical options and may show you photos of women who have had different types of breast reconstruction. The Women's Health and Cancer Rights Act of 1998 requires all group health plans that pay for mastectomy to also cover prostheses and reconstructive procedures. When Can DIEP Flap Reconstruction Be Performed? Some muscle weakness may result from DIEP flap reconstruction, but this side effect is uncommon. To reduce the risk of developing a hernia, you should rest well and avoid lifting heavy objects or straining your abdominal muscles.

DeVita, Hellman, and Rosenberg's Cancer: Principles and Practice of Oncology. DIEP (Deep Inferior Epigastric artery Perforator) flap surgery is an autologous surgery. Patients who decide to have tissue flap breast reconstruction should look for experienced microsurgeons who perform a high number of tissue flap reconstruction surgeries. If you have questions or tips to add, be sure to leave them in the comment section below.

All we're doing is shifting fat and tightening skin. Because the amount of skin and other tissue is generally less than in a TRAM flap surgery, this approach may be used for small and medium-sized breasts or for creating a pocket for a breast implant. Another possible abdominal wall (tummy) flap is the SIEA (superficial inferior epigastric artery) free flap. Call us today at (615) 620-7800. In management of the opposite breast, do not assume that any large or ptotic breast requires surgery; however, it is much easier to shape the reconstructed breast to match a breast that is neither hypertrophic nor ptotic. When transferring a pedicled TRAM flap, preferably base the flap contralateral to the reconstructed breast and create the subcutaneous tunnel slightly on the opposite side of the sternum in relation to the reconstructed breast. In addition to no pain, I also did not walk hunched over at all. Again, your doctor might say something different. Dr. Rowe and Dr. Pierce were amazing. Any type of wound to the body is at risk for infection. For a muscle-sparing free TRAM flap, your surgeon takes only a portion of your rectus abdominis muscle, which may help you retain abdominal strength after surgery. Patients like the "tummy tuck" it provides.

Less than 5% of surgeons in the United States perform this intricate procedure, and the board-certified reconstructive surgeons at The Breast Center Park Meadows Cosmetic Surgery are proud to be among them. Although uncommon, some women experience muscle weakness in the back, shoulder or arm after this surgery. I share about my experience with DIEP to help inform anyone interested and to reassure others who are thinking about this option. 1] When immediate reconstruction is performed following a skin-sparing mastectomy in a nonirradiated breast, the demands on the plastic surgeon are reduced and the postoperative result is improved cosmesis. Before phase 2, it's imperative that you and your surgeon be on the same page as far as what you want done and what to expect. During the procedure, the surgical team removes the tissue from the selected donor site and uses it to recreate the breast.

The tissue for reconstructing your breast most often comes from your abdomen.

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