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Is It Possible to Do a Diep Flap After a Mini Tummy Tuck?

asked 1 year ago by 5517anon in Arizona
Latest answer by David Greenspun, MD, MSc
Question viewed 187 times
Tags: DIEP

8 answers to Is It Possible to Do a Diep Flap After a Mini Tummy Tuck?

DIEP flaps are not an option after abdominoplasty

The perforator flap option is effectively eliminated after a tummy tuck as the tissues supplied by the perforating vessels has been elevated and detached. Other options for breast reconstruction exist, including implant based options, more exotic free flaps like TUG flaps, and pedicled flap options like the latissimus flap.

Scott Sattler, MD
Bellevue Plastic Surgeon

It depends....

The DIEP flap gets it's blood supply from small blood vessels that may be injured by the minituck. The traditional way to make sure that these are intact is to do a traditional angiogram but this is an invasive and costly procedure. A simpler way is a CT angiogram. The DIEP flap is a technically demanding operation that preserves the abdominal muscles the best, among all the techniques used for breast reconstruction. During the surgery, this can be confirmed by using the SPY... more

Bala S. Chandrasekhar, MD
Los Angeles Plastic Surgeon

DIEP after Tummy Tuck- Sometimes Possible

Although previous tummy tuck or mini-tummy tuck surgery was previously considered a contraindication to DIEP flap surgery, it is no longer always the case. Tummy tuck surgery will disrupts some, but not necessarily all of the blood vessels which can be used for a DIEP flap. With preoperative blood vessel imaging, for example with an MRI, it is possible to figure out precisely whether or not a DIEP flap is possible. I have done DIEP flaps in patient who have previously had mini-abdominoplasty... more

David Greenspun, MD, MSc
New York Plastic Surgeon

Performing a DIEP Flap after a mini tummy tuck

A mini tummy tuck is a safe and effective procedure that can create a more contoured abdomen, a tight waist and a beautiful figure. After a patient has received a mini tummy tuck, the anatomy of the lower abdomen has been altered. Because of this alteration, it is not possible to perform a DIEP flap after a tummy tuck.

B. Pat Pazmino, MD
Miami Plastic Surgeon

www.miamiaesthetic.com

Diep flap after a mini-tummy tuck

Performing a DIEP flap requires that the blood supply to the falp was not injured during elevation. More than likely it was damaged, but only the surgeon would know for sure. Othere studies that are more invasive can determine this as well.

Steven Wallach, MD
Manhattan Plastic Surgeon

DIEP flap Reconstruction after Tummy Tuck

Regarding: "Is It Possible to Do a DIEP Flap After a Mini Tummy Tuck?" For the benefit of the RealSelf readership who does not know, a DIEP flap is the use of the lower tummy skin supplied by PERFORATING (The "P" in DIEP) branches of the Deep Inferior Epigastric Artery. Instead of taking a piece of the lower 6 pack muscle to capture the vessel, the DIEP flap uses careful dissection based on angiography (radiological studies documenting location and patters of... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

DIEP breast reconstruction after mini tummy tuck

In most instances the blood supply is compromised espeically if rectus repair is performed but duplex scan, MRA, or traditional angio will be best way to determine if it is possible.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Diep flap after a mini tummy tuck

The only way to be absolutely sure is an angiogram procedure to see if the DIEArtery is still there. Otherwise I believe blindly trying this operation will lead to a failure. From MIAMI DR. B

Darryl J. Blinski, MD
Miami Plastic Surgeon

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