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A MyBCTeam Member asked a question 💭
St Paul, MN
April 27
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Going through a double mastectomy with DIEP flap reconstruction is a big journey, and many people have shared their experiences navigating recovery. Here's what to generally expect:

The Procedure
DIEP flap reconstruction uses your own fat, skin, and blood vessels from your lower abdomen to create new breast mounds. It can Show Full Answer

Going through a double mastectomy with DIEP flap reconstruction is a big journey, and many people have shared their experiences navigating recovery. Here's what to generally expect:

The Procedure
DIEP flap reconstruction uses your own fat, skin, and blood vessels from your lower abdomen to create new breast mounds. It can be done at the same time as your mastectomy or later. A microsurgery specialist performs the procedure.

Recovery Timeline
- Hospital stay is typically up to 5 days
- Full recovery takes around 6 to 8 weeks
- Numbness in the breasts and abdomen can last up to a year
- Future surgeries may be needed to refine the shape

What to Expect During Recovery
- Soreness and swelling around the breasts and abdomen for several weeks
- A feeling of tightness in the tummy area (sleeping flat can be uncomfortable at first)
- Incision sites will need cleaning and drains will need emptying at home Real Experiences from MyBCTeam Members

One MyBCTeam member shared, "Your tummy is very tight after surgery, so sleeping flat is impossible. I even tucked a few pillows under my knees to be comfy."

Another said, "Now that I am six months out from my reconstruction, I am feeling great! My abdominal area is still a little tender, but I am completely back to all my activities."

Studies show that over 90% of people who had DIEP flap reconstruction were satisfied with the results, which is pretty encouraging! Potential Risks to Be Aware Of

Like any surgery, there are some risks to keep in mind:

- Tissue death (necrosis): The transferred tissue can sometimes be rejected, turning blue or black. This may require surgical removal.
- Fat necrosis: Lumps can form in the breast tissue around 8–9 months post-surgery. These can be surgically removed if needed.
- Fluid buildup: Swelling in the lower abdomen can occur — contact your care team right away if this happens.
- Hernia: Rare, but abdominal muscle strain can sometimes lead to this.

Always reach out to your care team immediately if you notice anything unusual after surgery. Benefits Worth Knowing

- Results tend to look and feel more natural compared to implants
- Recovery is generally shorter than some other reconstruction options
- Your body can handle weight fluctuations more easily than with implants
- There may be more sensation in the reconstructed breast over time

Talking in detail with your surgical team about your specific situation is the best way to figure out if this is the right path for you.

April 27

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