Breast reconstruction (take 2), is the DIEP Flap procedure the most appropriate next step? (Photos)

If you want to continue using implants then perhaps you would benefit from a lift, revision of your previous reconstruction and placement of implants retro-pectoral, if they are in front of the muscle. Also, the implants can be removed and fat transfers can be done and then the implants replaced. If you do not want to continue with implants then a DIEP flap is a valid alternative.

Best Wishes,

Gary Horndeski, M.D.

Thanks for your question and photos. An examination in person and understanding of your current implants is necessary to provide you with relevant recommendations. The rippling can be helped with a higher cohesivity implant, or possibly Motiva. The addition of ADM as a thickening layer over your implant can also help. Additional fat grafting may also be helpful.

A DIEP is always an option but a big operation with a significant recovery. I would exhaust other possibilities first. If you have confidence in your plastic surgeon, discuss all of your options. If you feel a second opinion is in order, select an experienced board certified plastic surgeon whose aesthetics and reviews resonate with you. Best of luck to you.