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Autologous Breast Reconstruction. DIEP Flaps. Second Stage Procedures

Autologous breast reconstruction involves reconstructing the breast following mastectomy with the patient’s own body tissues. Patients who are candidates for autologous breast reconstruction are patients who have had radiation to the breast skin, those who have had repeated infections or capsular contracture, or those patients who wish to undergo breast reconstruction without implants. Other types of patients who are candidates…

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DIEP Flaps. Second Stage Breast Reconstruction. Nipple Areola Complex Reconstruction

Typically, breast reconstruction with autologous tissue occurs in three stages. For deep inferior epigastric artery perforator flaps, the skin and fat is harvested from the lower abdomen and transferred to the mastectomy site. In the second stage of the reconstruction which occurs at a later date, a symmetry procedure is performed on the reconstructed breast mound. Additionally, at that time,…

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DIEP Flaps. Deep Inferior Epigastric Artery Perforator Flap for Breast Reconstruction.

When the breast has been removed for cancer and the remaining skin on the chest has been radiated the optimal choice for autologous reconstruction is to use tissue from the lower abdomen.The deep inferior epigastric artery perforator flap or DIEP flap is a variation of the TRAM flap. The DIEP flap allows the plastic & reconstructive surgeon the opportunity to…

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Delayed Breast Reconstruction Following Radiation Therapy

Often when patients come to discuss breast reconstruction options in consultation, the choices to be made regarding reconstruction can often be more confusing to patients than the oncologic surgery itself. In our initial breast reconstruction discussion, patients understand that they can either decide to have breast reconstruction or to not have breast reconstruction. More often, patients choose to undergo breast…

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