DIEP flap Second surgery phase two

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DIEP flap Second surgery phase two

by red51 on Thu Oct 01, 2009 12:00 AM

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Can someone tell me about the phase two DIEP Flap procedure? I know they make the nipples but is there some lipo suction also?

RE: DIEP flap Second surgery phase two

by Teresa_Marie on Thu Oct 08, 2009 12:00 AM

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To answer your question, I believe they always make the breast a little big so that they have room to go back and "sculp" the breast to what they want.  Yes this can involve liposuction in some cases.  I had my DIEP 2 years ago and could not be any happier.  I love my new breast and you would never be able to tell the difference just by looking at me.  I have not had any problems and new breast feels very natural.  The recovery time is about the same but a lot less involved and is done as an out patient proceedure. I had my surgeon do extra lipo on another part of my body while I was there.  My surgeon constructed my nipples in his office a few weeks later after the swelling went down.  There is no feeling in the area so there was no need to use anesthesia and I watched him perform the proceedure.

Good luck to you and hope you enjoy your new breast(s).

Teresa 

RE: DIEP flap Second surgery phase two

by KayleighGrace on Sat Oct 17, 2009 12:00 AM

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Hi All:

I am trying to decide where to do my DIEP and wondering where you have done your.  There is a doctor in Denver or close by who seems to have a pretty good success rate.  Anyone else know of some one in Colorado that has a high success rate?

RE: DIEP flap Second surgery phase two

by KarenRB on Mon Nov 09, 2009 11:53 AM

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Hi, I had DIEP on September 16, 2009 in Colorado.  My surgeons are wonderful and I believe they are the only team of docs in Colorado who do the surgery.  They are Chris Williams and Jeremy Williams (not related) at Park Meadows Cosmetic Surgery in Lone Tree (a suburb south of Denver).  I am 7 weeks out and so glad I had the surgery!  I had a prophylactic bilateral mastectomy with immediate reconstruction.  I am scheduled for phase two on December 18.  As far as their success rate, I was told that 1 in 100 flaps are "lost" meaning the blood flow cannot be established.  They are super meticulous during surgery to avoid losing a flap.  I highly recommend checking them out.  Not only are they very educated and well trained but they are nice guys!

RE: DIEP flap Second surgery phase two

by KarenRB on Tue May 25, 2010 01:01 AM

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I had lipo suction during my phase two DIEP Flap surgery.  I had it in four spots - on the sides of each breast and on my hips, at each end of the abdominal incision.  My doc told me he removed maybe a 1/4 pound of fat from each spot, so only one pound total. It has been 5 months since the second surgery and I can definitley tell where the lipo was done.  It looks great!  It is amazing that removing a relatively small amount of fat can make such a difference.

I went in thinking I would have nipple reconstruction but my cosmetic surgeon made the decision to give me a breast lift (and do the lipo) instead.  I am thrilled with the results of that, too.  He wanted to wait until all the swelling from the lift was gone before he did the nipple reconstruction.  It is an in-office procedure, using local anesthetic.  I have just been too busy to schedule it, but I am not nervous about it at all.  Plus, it's kind of nice not having to worry about nips showing through shirts if I don't want to wear a bra!

RE: DIEP flap Second surgery phase two

by Teresa_Marie on Tue May 25, 2010 01:22 AM

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Hi Red 51, depending on you, there can be some liposuction.  My second phase was done as an out-patient procedure and it was fine.  I had my nipple done in my surgeons office without any numbing because there is no feeling in your breast anyway.  If you are using tissue from another source on your body then yes you would have to be put out.  Your plastic surgeon should be able to explain to you exactly what she/he is going to do.  Good luck and enjoy!

RE: DIEP flap Second surgery phase two

by KrisRooke on Mon Aug 20, 2012 06:28 AM

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I'm on day two of recovery from the second surgery of the process for DIEP Flap Reconstruction on my left breast. Nipple Reconstruction and Contour Revision Liposuction. I'm so very grateful for many things, here is my top five. 1) I'm allergic to narcotics, so for my best health, I use mediation and breathing exercises. During the recovery I have learned ways to manage my pain that requires little to no medications that could be considered addictive or have long term bad effects. I also have Metamucil on my side....meaning after surgery and without the ability to go into surgery without medications for sedation, I will naturally get an allergic reaction, migraine, throwing up, etc., I pounded a healthy size portion of water and metamucil to push things through me as quickly as possible, and water, water, water, decreasing the length of allergic reactions. 2) I have done due diligence with my research of who I wanted to work on me. I found the best surgeon that could possibly be right for me. Dr. Ottway Louie at the University of Washington in Seattle, WA, is a plastic surgeon with DIEP Flap expertise. His profile: http://www.medical.washington.edu/bios/view.aspx?CentralId=1 3) I have been taking care if my scarring since the first time I was diagnosed over 10 years ago. The second time I was diagnosed again was three years ago. I was blessed with skin that heals well. But I have made it a priority to always keep cancer in its place, and not let it have free roam on my body. Managing scarring is a very good way to take back control of your body, and push cancer out of ones life. Healing skin is a sign that I'm healing in all aspects. 4) I'm motivated to be fit, I have been an exerciser for many of my 47 years, as well as a fitness instructor for a very well known aerobic dance program. Each step of the way of this long journey it has been said to me over and over, that I'm living proof that exercise for health will help one bounce back from illness better. Now, why would somone with such a healthy lifestyle get cancer not once but twice? That's not in my hands at all, and I feel food knowing this. But what if I was not ever exercising and got cancer two times in 10 years, that would be very sad. 5) I have two boobs now.....yes, I have cleavage too. The second surgery, done two days ago, revised my body and liposuction was performed along the sides of my body where despite the flap leaving skin, my own body had settled into that muffin top area. Having it removed is allowing me to feel GOOD about myself again as a fitness instructor who has always naturally carried more weight in her midsection. The final stage of this process is the tattoo, I'm wondering if I can choose the shape...I think I'd like a heart shape? Maybe the yin/yang circle, or perhaps a peace sign..... This is a long process but so very well worth it! I'm an advocate of this process for the person who it is right for, and would never try to talk anyone into doing this, but I have a wealth of knowledge about the topic of breast cancer that I'm will to help others with, please ask! Sincerely, Kris
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