DIEP Flap Breast Reconstruction

Breast reconstruction is a surgical procedure that rebuilds the shape and appearance of the breast after a mastectomy (removal of the breast). Whether performed at the time of your mastectomy or later, reconstruction can help restore your sense of confidence, balance, and wholeness. DIEP flap reconstruction is one of the most advanced and natural options available today.

What is DIEP Flap Reconstruction?

DIEP flap (deep inferior epigastric perforator) reconstruction uses your own tissue, specifically skin and fat from the lower abdomen, to rebuild the breast without sacrificing the abdominal muscles. This technique offers a natural look and feel while preserving core strength, which can promote better long-term physical outcomes compared to older flap techniques. 

DIEP flap surgery is microsurgical, meaning it involves reconnecting tiny blood vessels to ensure healthy tissue transfer. Because the reconstructed breast is made from your own living tissue, it responds more naturally to weight changes and to the effects of aging over time. Many patients also appreciate the added benefit of a flatter, tighter abdomen similar to a tummy tuck. At The Breast Center of New Jersey, our breast surgeons work closely with reconstructive specialists to ensure the best possible aesthetic and clinical results.

Benefits of DIEP Flap Reconstruction

Every patient’s goals are different, but many find that DIEP flap reconstruction helps restore a sense of control and confidence after breast cancer surgery.

• Uses your own tissue for a more natural appearance
• Preserves abdominal muscles for faster physical recovery
• No implants or foreign materials involved
• Results adjust naturally with body changes over time
• Can be performed immediately or delayed after mastectomy
• Offers added benefit of abdominal contouring
  
  
  

Are You a Candidate?

DIEP flap reconstruction may be a good option if you're seeking a more natural alternative to implants or have had radiation therapy that affects your skin and tissue quality. Our team will work with you to evaluate your health history, surgical goals, and abdominal tissue availability to determine whether this procedure is right for you.

You may be a candidate for DIEP flap reconstruction if you:

• Have had or are planning a mastectomy
• Have enough abdominal tissue for the reconstruction
• Are in good overall health for microsurgery
• Are looking for a reconstruction method without implants
• Are emotionally ready for reconstructive surgery and recovery
  
  
  

What to Expect

Before Surgery

You’ll meet with your care team to review your medical history and determine whether DIEP flap reconstruction aligns with your goals. Imaging studies and physical exams help us assess your abdominal tissue and vascular anatomy. We'll also discuss timing, whether you’ll have immediate reconstruction during mastectomy or delay the procedure until after recovery or other treatments are complete.

During Surgery

DIEP flap reconstruction is a complex microsurgical procedure typically lasting several hours. Surgeons carefully remove skin and fat from the lower abdomen while preserving your abdominal muscles. The tissue is then shaped into a new breast and connected to blood vessels in the chest using high-precision techniques. Depending on your situation, both breasts may be reconstructed, or one breast may be reconstructed to match the remaining one.

After Surgery

Patients generally stay in the hospital for a few days after DIEP flap surgery for close monitoring. Surgical drains are often used to reduce fluid buildup. Pain management, wound care, and mobility support are key to early recovery. You’ll have follow-up visits with your team to monitor healing and address any concerns.

Recovering from Breast Reconstruction

Healing from DIEP flap surgery takes time, and every recovery journey is different. Most patients can expect to resume light activities within 4 to 6 weeks, with a gradual return to full activity over a few months. Because this procedure involves two surgical sites, your chest and abdomen, you’ll need extra support in the first weeks. Our care team will guide you through every stage of recovery, offering tips for comfort, scar care, and physical therapy if needed.

Symptoms to Monitor

While healing, it’s important to watch for any signs of complications:

• Redness or swelling around the incision

• Fever or chills

• Unusual drainage or foul odor

• Pain that worsens over time

• Delayed wound healing

Risks and Side Effects

While DIEP flap reconstruction is considered safe and effective, every surgery carries some risks. We’ll walk you through potential side effects and what you can do to lower your risk during healing.

• Infection

• Bleeding or fluid buildup

• Delayed wound healing

• Fat necrosis (hardening of fat tissue)

• Blood clot formation

• Need for revision surgery