Is a diep flap best for me ? (photos)
Doctor Answers 3
Is a diep flap best for me ?
The DIEP flap can be the answer!
Your right breast lacks not only volume but also skin. I don't recommend stretching your existing breast skin as that likely will fail. You absolutely need both extra skin and volume added to your right breast to give you symmetry and a natural breast shape and "hang" (called ptosis). This can be achieved one of two ways: either a latissimus flap (provides skin) + implant (provides volume), or with a DIEP flap which provides both skin and volume. Either technique can give you a great result. However, if you're a good candidate for a tummy tuck (i.e. you have extra hanging abdominal skin and fat) and you don't have long scars across your abdomen, then a DIEP flap can not only give you the most natural result but also the tummy tuck is usually a welcome cosmetic improvement to the abdomen. The other great advantage of the DIEP flap is the most natural feel, and natural aging process of your breasts. Furthermore you can avoid problems associated with implants such as capsular contracture, unnatural and asymmetric aging, rippling, firmness or other problems such as ALCL (a rare cancer of immune system).
If you don't have enough abdominal tissue for a DIEP flap then the love handle (LSGAP) flap is a great second alternative.
The DIEP flap, and especially the love handle flap, are very challenging surgeries that require great training, skill and experience to perform successfully. Seek a microsurgeon who has done at least 200 DIEP or LSGAP flap surgeries, rather than one who does either once in awhile.
All the best in your search!
- Dr. Rad