diep flap surgery

What does breast reconstructive surgery mean? Today, there are two types of procedures women can choose from: implant based reconstruction or soft tissue based reconstruction. Implant based breast reconstruction is the most common and is often the most convenient when it comes to recovery and downtime. However, soft tissue reconstruction, like DIEP flap surgery, is a great alternative. There are many advantages to this technique, but the procedure and recovery time is much longer than it is with breast implants. Continue reading to see if DIEP flap surgery might be a good fit for you!

What is DIEP Flap?

DIEP (Deep Inferior Epigastric artery Perforator) flap surgery is an autologous surgery. What does that mean? Tissue from other parts of the body is used to complete the reconstruction. Specifically for this reconstruction, a portion of skin, fat, and blood vessels is taken from the lower abdomen to recreate the breast.

DIEP flap surgery typically takes about 6-8 hours. An incision is made in the lower abdomen, from which the surgeon will remove the portion of skin, fatty tissue, and blood vessels. The abdominal incision is closed by pulling down the abdominal skin, and then the belly button is repositioned to naturally fit the improved contour. The skin, fatty tissue, and blood vessels are moved to the chest, and the blood vessels in the flap are connected to those found within the chest to allow the flap to remain a healthy and functioning new part of the breast. This procedure can be used to reconstruct one or both breasts. 

The Advantages of DIEP Flap

DIEP flap surgery has several advantages compared to an implant based reconstruction. The results of DIEP flap surgery have a more natural look and feel.  “The tissue continues to grow and age with you”. Additionally, the patient gets a free “tummy tuck” out of the procedure.

Another popular tissue-based reconstruction is the TRAM flap reconstruction. However, DIEP surgery comes with fewer risks. During a TRAM reconstruction, abdominal muscles, skin, fat, and blood vessels are removed from the abdomen to reconstruct the breast. By preserving the abdominal muscles in a DIEP surgery, patients have less postoperative pain, less post-surgical abdominal wall weakness, and a decreased risk of hernia formation.  

What to Expect After Surgery

DIEP flap surgery is not for everyone. After the procedure, you will usually stay in the hospital for five days and the recovery period can take up to eight weeks. That’s roughly double the recovery time of an implant based reconstruction. Because DIEP flap surgery involves two sites on your body, the time it will take for your body to fully recover will be longer. However, it is super important to allow the time your body needs to heal. You will have surgical drains that will remain for one to two weeks after surgery depending on whether one or two breasts are reconstructed. You will have to avoid heavy lifting, strenuous exercise, and sexual activity during your recovery period. Additionally, your doctor will advise you to start stretching exercises after you have reached a certain point in your recovery period. 

DIEP Flap Surgery in Nashville, TN

Dr. Robert Garza has a dedicated focus on DIEP flap surgery (tissue based breast reconstruction). Visit Garza Plastic Surgery today in Belle Meade, TN to discuss whether or not DIEP flap surgery is a good fit for you. If not, we can offer a variety of alternatives and answer any questions you may have to help find the best solution for your goals and medical needs. Call us today at (615) 620-7800.


When it comes to present-day breast reconstruction, we’re referring to implant based and soft tissue based options. While implants offer a popular, simple method, there are alternatives for reconstructive breast surgery like DIEP flap surgery (soft tissue based breast reconstruction). Find out the advantages of soft tissue based reconstruction in Dr. Garza’s video.


What is DIEP flap surgery breast reconstruction? What’s the difference in soft tissue based reconstruction versus implant based reconstruction? Soft tissue based reconstruction, like DIEP flap surgery, uses the patients soft tissue that usually comes from the back, leg or other areas. While the recovery is longer for a soft tissue based reconstruction, most patients who choose this method prefer the “tummy tuck” results that come along with this procedure without having implants.