He gave me a script for PT and said that would solve problem! Another PS who I used for the revision found a muscle tear which he said would account for the bulge. He tightened everything up and then used allover mesh. I am thrilled with the revision.
Incompetence? Diep flap left me with a bulge which is pretty rare. (photos)
Doctor Answers 2
Breast reconstruction revision with fat grafting
Although this doesn't happen frequently it definitely happens. The tissue that covers the muscle can stretch or give way. Some patients have thinner tissues over the muscles. The surgeon who performed your DIEP flap is very capable. Sorry this happened.
Abdominal bulge following DIEP
Abdominal bulging is certainly not a rare complication following DIEP or TRAM reconstructions. Although the muscle is left behind in a DIEP, we do need to follow the perforator vessels through the muscle, and this can lead to muscle damage. I'm glad your repair was successful, but this is not the result of incompetence on the part of your first surgeon.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.