Tram or DIEP Flap Using Stomach Apron for Breasts After Weight Loss?

Prior to recommending a DIEP flap for your breast reconstruction, I would want to ensure that you Body Mass Index (BMI) is below 40.   I also would want to ensure that you do not have many comorbidities, such as diabetes, hypertension, history of heart attack etc.

Based on your exam, it would be determined if your abdomen is a suitable donor site for breast reconstruction.    

I often find that the technical aspects of the DIEP flap breast reconstruction are easier in patients who have lost weight due to the caliber of your existing blood supply.   However, I worry about wound healing issues.  Hence, proper nutrition and careful aftercare will be essential to a long lasting result.


It may be benefiical to seek consultation with more than one plastic surgeon with an interest in breast reconstruction to make the best decision.   Your oncologist or breast surgeon should be able to provide you with a list of names.

With an apron of skin and fat hanging over your belly, this tissue is not ideal for reconstruction and may result in severe complications.