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What You Should Know About The Diep Ism Flap

If you are thinking about getting your breasts reconstructed

, you should think about what the DIEP Ism Flap method can do for you. This is a procedure where a highly skilled surgeon takes some of the fatty tissue that is in your stomach area and uses it to sculpt your missing bosom. If there is not enough tissue in your stomach area, your surgeon can also use excess fat from your back, buttocks and thigh area.

Fatty tissue is not the only thing that is removed and transferred to your chest. There is a large blood vessel called the deep inferior epigastric perforator that is grafted into your chest as well. This vessel can be found in your abdomen area. That is why it is called the DIEP. The tissue that is be molded into your new breasts needs a good blood supply in order for your body to accept the grafts. Without an adequate amount of blood being supplied to the area, the tissue would die and the DIEP ISM Flap operation would not be a success. The one thing that makes this procedure drastically different from others is that it does not involve the removal of any muscle. The other difference is that this method is referred to as the free flap because the tissue that is used to create your breasts is surgically removed from the target area.

This is a very involved surgery. It requires the use of a microscope for the surgeon to attach the blood vessels that were removed from the target area into the chest area. This microsurgery requires your surgeon to be very precise and often takes several hours just to complete the reattachment process. If you are thinking about having one portion of your bosom reconstructed, the procedure can take up to five hours, for the whole bosom it can take up to 8 hours.

Even though the risks for this procedure are pretty low, there is also the additional complication of if the blood vessels do not take to the reattachment. When that happens, the transplanted tissue will start to experience necrosis which is tissue death. This means that your surgery was not successful and you will want to talk to your surgeon about other options. The risk for is complication is relatively low. You should also be aware that depending on your body and your particular situation, you may not be able to experience as much sensation as you were accustomed to before you had your bosom surgically removed due to illness. Your recovery time is significantly reduced since your abdominal muscles were left alone, your expected recovery can take anywhere from one to two months.


The DIEP Ism Flap procedure is a very complicated surgery that very few surgeons are qualified to perform. That is why you should use your time before you make a decision to see several qualified breast reconstruction surgeons and discuss what your options are.

by: Abigail Aaronson
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