D.I.E.P. – Deep Inferior Epigastric Perforator Flap
Skin incision on the abdomen and around the areola are marked with a surgical marker
Four weeks after surgery Nipple-areola complex has not yet been recreated
D.I.E.P.is a ‘Perforator’ flap which means that the flap (transplanted tissue) depends on a perforator vessel for its vascular supply (blood flow and nutrients).
DIEP is taken from the abdomen, and has the same effect as a tummy tuck. However, unlike a tummy tuck where the abdominal skin and fat are thrown out, in this case that tissue is used to create a breast or to cover a defect.
Compared to the previous standard in breast reconstruction, the TRAM flap, DIEP represents a tremendous leap forward. It allows for greater versatility in breast reconstruction, while tremendously decreasing post-surgical complications such as pain, weakness, abdominal bulging and hernias. It also improves the cosmetic appearance of the breast and its softness.
The outcome of DIEP procedures is identical to SIEA procedures. Because SIEA is the most ideal flap, Dr. Jugenburg starts all breast reconstruction flaps start as SIEA. However, because of anatomical variations, only 25% of patients are eligible for this type of procedure. In the remaining 75% of patients, Dr. Jugenburg proceeds to perform the DIEP procedure.
