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DIEP flap breast reconstruction is typically performed by the Plastic Surgery team (rather than the Breast Surgery team) so is only available in centres with Plastic Surgery support. It is a more complicated operation than other autologous or alloplastic options, but provides significantly better cosmetic results, which means better ...
Free-flap breast reconstruction is a type of autologous-tissue breast reconstruction applied after mastectomy for breast cancer, without the emplacement of a breast implant prosthesis. As a type of plastic surgery, the free-flap procedure for breast reconstruction employs tissues, harvested from another part of the woman's body, to create a ...
(In DIEP flap surgery reconstruction, skin, fat and blood vessels from the patient's abdominal area are used to rebuild breasts.) ... surgeon in Texas who specializes in breast reconstruction for ...
The most frequently used perforator flaps nowadays are the deep inferior epigastric perforator flap , [5] [6] and both the superior and inferior gluteal (SGAP/ IGAP) flap, [7] all three mainly used for breast reconstruction; the lateral circumflex femoral artery perforator (LCFAP) flap (previously named anterolateral thigh or ALT flap) [8] and ...
Breast reconstruction: Aesthetic (cosmetic) reconstruction: Most commonly, creating a breast after a mastectomy. This may happen at the time of mastectomy or at a later date. Free flaps are usually only done if a TRAM flap is not possible. Plastic surgeons usually perform these surgeries. Patients with Bell's palsy can have their face re ...
The purpose of perforator flaps (DIEP, SIEA, SGAP, IGAP) is to provide sufficient skin and fat for an aesthetic reconstruction while minimizing post-operative complications from harvesting the underlying muscles. DIEP reconstruction generally produces the best outcome for most women. [21] See free flap breast reconstruction for more information.
Following flap surgery, the biggest risk in recovery is flap death. Flap failure is an uncommon occurrence but does happen. The reported flap failure rate in free flaps is less than 5%. [19] The most commonly cause is by venous insufficiency consisting of 54% of all causes. [19]
In the 1980s, flap-based techniques for reconstruction became increasingly popular. [4] Such techniques involve incising a small flap of skin on the patient's breast, and raising the flap so it forms a shape that resembles a nipple. In general, a reconstructed nipple tends to gradually shrink over time.