Deep inferior epigastric perforator (DIEP) flap breast reconstruction is a surgical procedure used to rebuild a breast after a mastectomy or other breast surgery. It involves transferring tissue, including skin and fat, from the lower abdomen to the chest area. The procedure preserves the abdominal muscles, leading to potentially faster recovery and reduced postoperative pain compared to other flap techniques. A successful outcome typically results in a natural-looking breast mound, improved body image, and enhanced quality of life.
This microsurgical technique has become increasingly popular due to its potential advantages over older methods like the transverse rectus abdominis myocutaneous (TRAM) flap. Preserving the abdominal muscles contributes to improved core strength and reduces the risk of complications such as hernias. The aesthetic outcomes are often considered superior, with better symmetry and a more natural feel. Historically, breast reconstruction often involved the use of implants, but autologous tissue reconstruction, such as the DIEP flap, offers a living, evolving alternative that ages naturally with the patient.