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DIEP I<sup>SM</sup> DIEP I<sup>SM</sup>

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- Susan McMillan


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St. Charles Surgical Hospital

The DIEP I takes advantage of excess skin and fat in the lower abdomen to create the new breast.  The result in the abdomen is like a tummy tuck.  In contrast to the TRAM flap, the DIEP I procedure protects and preserves the core muscles of the abdomen and their strength.

DIEP flap reconstruction (deep inferior epigastric perforators) is an advanced microsurgical technique in breast reconstruction which uses the patient’s own tissue to reconstruct the breast after a mastectomy. DIEP flap reconstruction utilizes the excess fat and skin from the lower abdomen without sacrificing any abdominal muscles to construct a breast of soft, warm, living tissue. Women who undergo the DIEP flap reconstruction also benefit from improved abdominal contouring, much like a “tummy tuck.”

DIEP Flap reconstruction uses a flap of complete tissue (blood vessels, skin and fat) as the donor tissue for the new breast. This flap is transferred to the chest where the surgeon attaches the donor tissue blood vessels to the mastectomy site and reconstructs the new, living breast.

While there are several choices when it comes to reconstructive breast surgery after a mastectomy, the DIEP flap reconstruction is generally the preferred reconstructive option for most women. In cases when the patient lacks enough abdominal fat tissue there are additional options, including the Stacked DIEP reconstruction or the GAP Flap.

The Center for Restorative Breast Surgery was established to serve as a dedicated resource for women seeking the most advanced methods of breast reconstruction utilizing the body’s own tissue. Frank DellaCroce, M.D., FACS, Scott Sullivan, M.D., FACS, Chris Trahan, M.D., FACS and M. Whitten Wise, M.D. are pioneers in the most sophisticated breast surgery techniques that allow for microsurgical fat transplantation to rebuild the breast without sacrifice of important functional core muscles. They are international leaders in breast cancer surgery options, pioneering groundbreaking procedures including nipple sparing mastectomy, the Stacked DIEP, the gluteal hip flap, and the revolutionary BODY LIFT FlapSM. They have performed thousands of breast reconstruction procedures for women facing breast cancer or seeking risk reduction from around the world.


Stacked Flap
Hip Flap
Nipple Sparing
BRCA Reconstruction

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