Diep flap reconstruction allows for breast reconstruction using your own natural body tissues. Dr. Lerman specializes in breast reconstruction, including natural breast reconstruction. He has the expertise to perform this procedure on more candidates than many other plastic surgeons.
So, when you're deciding what type of breast reconstruction to have or who
to do your breast reconstruction, the most important thing is to go to a
plastic surgeon that can offer you all types of reconstruction. Most
plastic surgeons do not do what we call autologous tissue reconstruction,
where you use your own tissue to create a breast mount. A deep flap is
when we transplant a tissue, usually from the belly, including the blood
vessels that keep that tissue alive, to create a new breast mount instead
of using a breast implant.
The benefits of using your own tissue, such as a deep flap, are that for
the rest of your life the tissue looks more natural and it feels more
natural and it never has to be revised, unlike a breast implant. Which
usually have to be fixed or updated over the course of your life multiple
times. A deep flap preserves the muscle in your belly to minimize the risk
of having any type of weakness or bulge in the abdominal wall. Those of us
who specialize in perforator flaps to do breast reconstruction use a deep
flap as one of the primary methods to do this type of reconstruction.
If you're not a candidate for deep flap, but you still want to use your own
tissue, there are other locations on your body where we can get extra skin
and fat. Again, the whole point of going to somebody that specializes in
breast reconstruction and specializes in perforator flaps is that we are
not limited to one particular type of flap. Using a combination of
locations from the body we can usually make sure that if you want to use
your own tissue, there is an available location to take it from.
The recovery time is a lot faster than they might think. I would say my
patients are walking in and out of my office by three weeks and they are
feeling fine. Of course, you can't do any strenuous physical activity and
you stay home from work probably from four to six weeks. Certainly, it is
not a prolonged recovery that takes many months.