DIEP flap surgery best for natural breast reconstruction results?

There's a possibility I may need to have a mastectomy, so I have been looking into which breast reconstruction procedure would be best for giving me the most natural-looking new breasts. I read that the DIEP flap surgery is new and much more expensive than other breast reconstruction surgeries because it gives the best result.  Is this true? I want to know which breast reconstruction procedure the doctors think is best?

5 answers to “DIEP flap surgery best for natural...”

A: DIEP flap Breast Reconstruction and Cost

C. Bob Basu, MD

First, breast reconstruction after mastectomy must be covered by your insurance thanks to a 1998 federal law. This is one procedure insurance companies can't successfully deny.  So given the question regarding cost -- this should not be a self-pay cosmetic procedure. Now to address your question regarding... more

A: Your own tissue is better than an implant usually

Richard P. Rand, MD

In general, using your own tissue makes for a more natural looking and feeling breast but at the expense of more scars and a much longer recovery than from implant reconstructions. This is especially true in radiated patients and in one sided reconstructions. Bilateral reconstructions without radiation can be... more

A: Autologous tissue is most natural

Steven H. Williams, MD

In my San Francisco area practice I have been able to offer my patients a wide range of reconstructive options.  I've had the opportunity to co-found a breast reconstruction program and found two microsurgical programs which primarily have focused on breast reconstruction.  The two basic categories... more

A: Advantages of a DEIP flap for breast reconstruction

Raffy Karamanoukian, MD

TRAM flaps are commonly used for breast reconstruction.  TRAM stands for 'Transverse Rectus Abdominis Muscle,' wherein the abdominal muscle and overlying fat to reconstruct the breast. A more advanced technique is to preserve the muscle and use only the overlying fat of the abdomen using a DIEP flap (Deep... more

A: DIEP FLAP SURGERY

Steven Wallach, MD

A free flap breast reconstruction is more expensive than a pedicled TRAM or tissue expander- implant recosntruction.  Some surgeons charge more for a perforator flap reconstruction than a free-Tram.  I prefere autologous tissue reconstruction over a tissue expander and implant.  I think it... more

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