Bulge over Pubic Area Above Incision for DIEP Flap?

Hello,

Thank you for the question.  The abdominal component of a DIEP flap reconstruction is of secondary importance compared to the breast reconstruction.  It is not uncommon to place the resection of the abdominal soft tissue higher on the abdomen for breast reconstruction compared with a tummy tuck.  With this and several other reasons the "tummy tuck " obtained from a DIEP flap breast reconstruction is rarely as good as a primary tummy tuck.  Regardless of the source additional surgery will be needed.  Options include liposuction or a full tummy tuck revision.

All the best,

Dr Remus Repta 

 

I place all of my patients in physical therapy after surgery to improve core strengthening.  Adjustments in diet to avoid bloating and wearing supportive garments like spanks can be helpful.