DIEP Flap Breast Reconstruction

DIEP flap reconstruction rebuilds a breast after mastectomy using skin and fat from your lower abdomen, moved with its own small artery and vein (the deep inferior epigastric perforators) and reconnected to vessels in the chest under a microscope. The abdominal muscle is left in place.

It gives a soft, warm breast that ages and changes weight with you and needs no implant. It is a long operation with a longer recovery than implant reconstruction, and it leaves a hip-to-hip scar.

What DIEP Flap Breast Reconstruction involves

A CT angiogram before surgery maps the perforating vessels in your abdominal wall. Two teams often work together: one prepares the chest and exposes the internal mammary vessels behind a rib cartilage, while the other raises an ellipse of lower abdominal skin and fat and traces one to three perforators down through the rectus muscle, splitting rather than removing it. The flap is detached, moved to the chest and its artery and vein, each 2 to 3 mm wide, are joined with sutures finer than a hair. The flap is shaped into a breast, and the abdomen is closed as in a tummy tuck with the navel repositioned. Drains are placed in both sites.

Who is a good candidate for DIEP Flap Breast Reconstruction?

You need enough lower abdominal tissue and to be fit for 6 to 10 hours of anaesthesia.

• Women having or who have had mastectomy who prefer their own tissue
• Previous chest wall radiotherapy, where implants have high complication rates
• Failed or painful implant reconstruction
• Enough spare tissue on the lower abdomen
• Nichtraucher bei guter allgemeiner Gesundheit
• Both breasts reconstructed at once using half the abdomen for each side

Es ist normalerweise nicht die richtige Wahl, wenn:

• Very slim women with too little abdominal fat
• A previous tummy tuck, or some earlier abdominal operations that cut the vessels
• Active smokers, who have much higher rates of wound and flap problems
• Severe obesity, uncontrolled diabetes or clotting disorders
• Women who want the shortest operation and recovery

Technikoptionen

• Immediate reconstruction: Done at the same operation as mastectomy, preserving breast skin.
• Delayed reconstruction: Months or years later, commonly after radiotherapy is completed.
• SIEA flap: Uses superficial vessels without opening the muscle sheath, when those vessels are large enough.
• Muscle-sparing TRAM: Takes a small cuff of muscle when the perforators are poor.
• Thigh or buttock flaps (PAP, TUG, SGAP): Alternatives when the abdomen cannot be used.

Was passiert während Ihrer Behandlung

Surgery takes 6 to 8 hours for one side and 8 to 12 hours for both, under general anaesthetic. For the first 48 to 72 hours nurses check the flap hourly for colour, warmth and Doppler signal, because a blocked vessel must go back to theatre within hours. You stay 4 to 7 nights, kept warm and well hydrated, with a urinary catheter and drains.

Vorbereitung auf Ihre Reise

Plan for 3 weeks in Istanbul. Your surgeon reviews photographs and your medical history before you book, and you meet in person the day before surgery for examination, marking and consent with a professional interpreter.

• Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
• Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
• Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
• Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind

Genesung und Ergebnisse

You walk slightly bent for the first week or two to protect the abdominal closure. Drains come out after 5 to 10 days. Expect 4 to 6 weeks off work and no heavy lifting or abdominal exercise for 6 to 8 weeks. Wear a supportive bra and an abdominal binder. Nipple reconstruction, tattooing, fat grafting and balancing surgery to the other breast follow from about 3 to 6 months.

• Back to everyday activity: 4 to 6 weeks off work; 3 months to full activity
• When results show: Shape at once; final result after revisions at 6 to 12 months
• How long they last: Lifelong; no implant to replace

Sicherheit, Risiken und Revisionspolitik

Most flaps succeed, but this is major microsurgery and complications do occur.

• Complete flap loss in roughly 1 to 3 in 100 cases, with a higher rate of urgent return to theatre to rescue the blood supply
• Partial fat necrosis, felt as firm lumps
• Slow healing or wound breakdown on the abdomen or breast
• Abdominal bulge or weakness, less common than with muscle-removing flaps
• Seroma, bleeding and infection
• Blutgerinnsel in den Beinen oder Lungen
• Numbness of the new breast and lower abdomen
• Asymmetry needing revision

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of DIEP Flap Breast Reconstruction in Türkiye

Clinic-Y does not publish a single price for DIEP Flap Breast Reconstruction, because the honest figure depends on your case. What moves it:

• One breast or both
• Immediate reconstruction with mastectomy versus delayed
• Length of stay including high-dependency monitoring
• CT angiography and the two-surgeon microsurgical team
• Later stages: nipple, fat grafting and symmetry surgery

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