I Had a Bi-lateral DIEP Flap Procedure Done 3 Months Ago. Having Healing Issues?

I am sorry you are having healing issues. Unfortunately, this can happen due to the tension of the abdominal tissues closing after the DIEP, as well as other factors such as smoking, diabetes, etc. Even without the wound it is still too early at 6 weeks to really know how your abdomen is going to look. It takes several months or more after the final healing to know how the abdomen will look. Most of the healing after any surgery takes place in the first weeks after surgery, but there is still more healing going on slowly over the months after surgery. It is difficult to wait as the process is slow, and particularly with wound healing issues, but you will need to give it more time before you are fully healed. At any time you have concerns about the wound or the possible swelling you should speak with your surgeon about it.

I am concerned that you have a retained fluid collection (abscess or seroma) that is not adequately drained.   I would recommend close followup with your surgeon and possible evaluation with ultrasound or CT scan to fully evaluate your abdomen.  

 
This should give you answers to the source of the problem.   It is possible that an outpatient procedure or assistance from a wound care center may be necessary to help resolve the issue.

 

I am sorry for your prolonged recovery.   Infection and delayed wound healing are risks that exist with all surgical procedures.     Please maintain close followup with your plastic surgeon and be diligent with your wound care and nutrition.

 

I wish you a safe and healthy recovery.

 

Dr. Gill

I'm sorry to hear that you are experiencing some healing issues after your bilateral breast reconstruction.  It sounds as if you had a fluid collection or abscess that drained out and you are packing your resultant wound to allow it to heal by itself.   Given this delayed healing, you are likely very swollen in this area.   And this swelling will takes weeks to resolve.   Please also see your reconstructive plastic surgeon to make sure you are also not experiencing a rare "bulge" or hernia that can manifest in your abdominal donor site.  These are rare but can happen.  Regardless, continue following up with your plastic surgeon for wound management.  Your plastic surgeon may also work with a wound care center to assist with your care.  Don't worry, this will pass but it will take time.  Good luck.

Dr. Basu

Houston, TX