How much better would my breasts look after second DIEP surgery? Right now, they're not as expected.

Thanks for your question and I am sorry to hear you are not satisfied with the results of your first reconstruction procedure. The good news is there are many options in revision surgery of a DIEP flap that can address these concerns and improve your outcome. It is best to either work with the original surgeon that performed your reconstruction or to get a second opinion from another board-certified plastic surgeon with extensive experience in breast reconstruction, so you can weigh all your surgical choices. Good luck to you as you progress throughin your reconstruction process. 

Dear winslow1,it is hard to tell for sure without an examination. I would suggest you to consult your plastic surgeon or ask for a second opinion. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

From what I understand from the question, you have already had a mastectomy with DIEP flap reconstruction on the left side.  Pictures would be helpful to further give any thoughts on options. But yes, do not worry.  Revision breast reconstruction procedures following all types of flaps are very common. You can reduce DIEP flaps with direct surgical debunking, liposuction or a combination.  We even put implants beneath DIEP flaps to make them larger if needed.  You have lots of options that are best discussed after an office examination with a board certified plastic surgeon who specializes in breast reconstruction.  Good luck with your ongoing reconstruction.