BREAST RECONSTRUCTION WITH DIEP IN PARIS

The symmetrization is the second procedure, which aims to operate on the other breast for the raise +/- lower the breast.

This second operation is not compulsory if symmetry is achieved during the first operation.

In most cases, this second stage is still necessary (3 to 6 months after the first surgery).

The reconstructed breast (DIEP) can be enlarged by fat injections (lipofilling).

The contralateral breast (non-DIEP) is usually raised and the size of the areola is reduced.

Several areola reconstruction techniques are available.

The technique used is chosen in consultation with the patient.

• The nipple (the projected part) :
  
  • Small local flap: like a small fold to reconstruct the nipple;
  • Tattoo.

• The areola (the circle around the nipple):
  
  • Skin grafting;
  • Tattoo.

The flap is part of the patient's own tissue. These are living tissues, which evolve naturally.

Being made up of fat, it increases in volume with weight gain and decreases in volume with weight loss. This is its major advantage over a breast implant.

It's important to know that reconstruction breast with DIEP ensures better long-term quality of life for patients.

If the conditions are right for DIEP reconstruction, there will be no need for further surgery.

On the other hand, the breast implant reconstruction is less durable in the long term. It may be necessary to replace the implant, or even to perform a new one. autologous reconstruction at a distance, if the implant is poorly tolerated.

If radiotherapy was performed prior to tumor removal as part of the cancer treatment, the preferred treatment will be flap breast reconstruction (DIEP or other).

Your surgeon will help you choose between these two breast reconstruction techniques.

The DIEP failure rate is approximately 2 %or even less with some teams trained (HEGP). In fact, this technique does not involve foreign body.

It occurs when micro-vessel connections become blocked (thrombosis).

This is generally linked to poor vessel quality. Before we can talk of failure, in most cases we can save the flap by unblocking the affected vessels.