Breast reconstruction following mastectomy can be challenging for both the patient and surgeon. Breast reconstruction can be performed immediately following mastectomy or can be performed in a delayed fashion where a patient undergoes a mastectomy in one procedure and then implant or autologous tissue reconstruction in another procedure. I typically educate patients who undergo reconstruction with tissue expanders or implants…
DIEP flaps are autologous tissue flap reconstructions where the tissue from the lower abdomen is transferred to chest using microsurgical techniques. The benefit of autologous tissue reconstruction is that the look and feel of the breast is natural and the reconstruction is durable. One of the secondary benefits of the DIEP flap breast reconstruction is that as the lower abdominal…
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…
Patients typically ask in consultation what the recovery is like following DIEP or TRAM Flap surgery. I find that patients may have some misconceptions regarding how they are going to look and feel post-operatively. Typically at one week post-operatively, most or all drains have been removed and steri-strips remain in place on the breast reconstruction or on the abdomen. Bruising…
