If you’re considering breast reconstruction after a mastectomy, DIEP flap reconstruction may offer a natural-looking, long-lasting solution using your own tissue. Many women choose this microsurgical procedure because it recreates the breast without breast implants while preserving the abdominal muscles. The result is a reconstructed breast that often looks and feels more natural, helping restore your appearance and sense of self.
At New York Group for Plastic Surgery, Dr. Jordan M.S. Jacobs, our board-certified plastic and reconstructive surgeon and nationally recognized breast reconstruction specialist, helps patients throughout New York City, Scarsdale, and Greenwich determine whether a DIEP flap is the right choice for them. In this article, we describe what surgeons evaluate during your consultation.
Your overall health
Your overall health is one of the first factors your surgeon will evaluate. DIEP flap reconstruction is a microsurgical procedure that requires both surgery and a dedicated recovery period. During your consultation, your medical history, current health, medications, and ability to heal will all be carefully reviewed to determine whether you can safely undergo the procedure.
Your abdominal tissue
A DIEP flap reconstruction requires enough healthy skin and fat in the lower abdomen to create a breast mound. Your surgeon will examine your abdominal tissue to determine whether there is sufficient volume to achieve your desired outcome. Even if you have a slimmer frame, you may still be a candidate if adequate tissue is available.
Your blood vessel anatomy
Because DIEP flap reconstruction relies on reconnecting tiny blood vessels using microsurgical techniques, healthy blood vessel anatomy is essential. In some cases, specialized imaging may be recommended to evaluate the deep inferior epigastric perforator vessels before surgery. This allows your surgeon to plan the safest and most effective approach for your reconstruction.
Your previous surgeries
Previous abdominal surgery does not automatically prevent you from having DIEP flap reconstruction. Many women who have had procedures such as a C-section or hysterectomy may still qualify. However, surgeries such as a tummy tuck, TRAM flap reconstruction, or extensive abdominal wall reconstruction may affect your candidacy. Your surgeon will review your surgical history and determine whether a DIEP flap remains the best option.
Your cancer treatment history
If you’ve had radiation therapy or are currently undergoing breast cancer treatment, these factors will also be considered during your evaluation. Prior radiation often does not prevent DIEP flap reconstruction and, in many cases, replacing radiated tissue with healthy abdominal tissue can improve both comfort and aesthetic outcomes. Your surgeon will coordinate your reconstructive plan with your overall cancer treatment when appropriate.
Your lifestyle and recovery readiness
Your lifestyle plays an important role in healing. Smoking, nicotine use, and certain uncontrolled medical conditions can interfere with blood flow and healing. Your surgeon may recommend lifestyle changes before surgery to reduce risks and optimize recovery. Equally important is your willingness to follow postoperative instructions and commit to the recovery process.
Your personal goals
Every breast reconstruction journey is unique. During your consultation, your surgeon will discuss your expectations, desired appearance, lifestyle, and long-term goals. Understanding what matters most to you helps ensure your reconstructive plan is personalized to your needs while setting realistic expectations for your outcome.
Schedule your DIEP flap consultation in New York
If you’re wondering whether you’re a candidate for the DIEP flap, Dr. Jordan M.S. Jacobs, board-certified plastic and reconstructive surgeon and breast reconstruction specialist at New York Group for Plastic Surgery, can provide a comprehensive evaluation.
Serving patients throughout New York City, Scarsdale, Greenwich, and the surrounding region, Dr. Jacobs will carefully assess your candidacy, answer your questions, and help you determine whether a DIEP flap reconstruction is the right path for your long-term goals. Schedule your consultation today.
