Reconstructive breast surgery after breast cancer

Deep Inferior Epigastric Perforator

The DIEP (Deep Inferior Epigastric Perforator) flap is a form of breast reconstruction in which skin and fatty tissue are taken from the lower abdominal region. Unlike older procedures such as the TRAM (Transverse Rectus Abdominis Muscle) flap, which also involves transferring muscle tissue, the DIEP flap does not require muscle removal. This results in a faster and easier healing process as well as a lower likelihood of complications such as muscle weakness or abdominal wall hernias.

Another advantage of the DIEP flap is that it allows for a natural and aesthetically pleasing breast reconstruction. Since only skin and fatty tissue are removed during this procedure, the breast shape and contour can be precisely reconstructed, resulting in a natural appearance and improved symmetry. In addition, the DIEP flap allows for customisation to the patient's needs and desires, as the tissue removed can be used in a tailored manner in terms of size, shape and positioning.

Using perforator flaps

Another advantage of using perforator flaps in general is that they allow tissue removal from other areas of the body without affecting important muscles or functions. By using the perforating blood vessels, tissue can be taken from different donor sites such as the abdomen, thigh or buttocks. This allows for an individual selection of the best tissue for each patient.

In summary, breast reconstruction after breast cancer with autologous tissue, especially using perforator flaps such as the DIEP flap, offers several advantages. These include improved aesthetic results, customisation options and a lower likelihood of complications compared to older procedures. However, it is important that each patient discuss the best options for her specific situation with her treating physician in order to make the right decision for her breast reconstruction.

Lecturer Larcher works here with the renowned German plastic surgeon Professor Christoph Andree from Düsseldorf, among others!