Belly button down, flatter and little protrusion. Belly button up, VERY full and sticks out compared to lower tummy. I feel barrel shaped! I have voiced my concern with P.S, and was as finally told the fascia was only tightened half way up! Why wasn't this info offered before the surgery? It explains ALOT! It feels like I'm wearing tight spanx,half way up,and everything is shoved to the top! This does affect me pysically, and looks bad! Fixable, is it a revision? Is only 1/2 up normal with diep?
September 4, 2019
Answer: Fascial Plication after DIEP flap Thanks for your question. With a DIEP flap an insignificant amount of fascia MAYBE removed and the closure of the fascial (Anterior Rectus Sheath) will cause minimal tightening of the lower abdomen. Usually during a second surgery to correct of scar position of the DIEP donor site, any bulges in the abdomen are addressed and a full plication will be performed in possible to restore the abdominal wall integrity and core strength.Hope this helps.
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September 4, 2019
Answer: Fascial Plication after DIEP flap Thanks for your question. With a DIEP flap an insignificant amount of fascia MAYBE removed and the closure of the fascial (Anterior Rectus Sheath) will cause minimal tightening of the lower abdomen. Usually during a second surgery to correct of scar position of the DIEP donor site, any bulges in the abdomen are addressed and a full plication will be performed in possible to restore the abdominal wall integrity and core strength.Hope this helps.
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January 31, 2019
Answer: Fascial Plication during DIEP Hello Wingracie, Thank you for sharing your experience. During a DIEP flap, the fascia is tightened below the bellybutton. Even a DIEP flap, which involves the removal of very little fascia, involves tightening of the fascia to some extent - any closure of the fascial "defect" by definition tightens the lower abdomen. This is a necessary step to close the fascia and to centralize the bellybutton if more fascia is removed from one side than the other. It is uncommon, though certainly not unheard of, to perform a supraumbilical plication during a DIEP flap. Supraumbilical refers to the upper half of the abdomen, above the bellybutton. Any plication increases pain and is by no means 100% risk-free. Plication can cause bleeding and fascial tears as well as other issues. This is why many reconstructive surgeons choose not to perform supraumbilical plication as an extra step during closure of the abdomen - a supraumbilical plication is not essential to safely complete the operation.
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January 31, 2019
Answer: Fascial Plication during DIEP Hello Wingracie, Thank you for sharing your experience. During a DIEP flap, the fascia is tightened below the bellybutton. Even a DIEP flap, which involves the removal of very little fascia, involves tightening of the fascia to some extent - any closure of the fascial "defect" by definition tightens the lower abdomen. This is a necessary step to close the fascia and to centralize the bellybutton if more fascia is removed from one side than the other. It is uncommon, though certainly not unheard of, to perform a supraumbilical plication during a DIEP flap. Supraumbilical refers to the upper half of the abdomen, above the bellybutton. Any plication increases pain and is by no means 100% risk-free. Plication can cause bleeding and fascial tears as well as other issues. This is why many reconstructive surgeons choose not to perform supraumbilical plication as an extra step during closure of the abdomen - a supraumbilical plication is not essential to safely complete the operation.
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