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DIEP Flap Breast Reconstruction

Dr. Peter Koltz performing plastic surgery.

Natural Breast Reconstruction

DIEP flap is one of the autologous breast reconstruction techniques to restore a natural looking breast appearance using the patient’s own excess skin tissue from a donor site. Unlike an implant reconstruction, a DIEP flap breast reconstruction does not involve the placement of implants or another foreign substance in the patient’s body.

Board certified plastic surgeon Dr. Peter Koltz provides DIEP flap breast reconstruction surgery to patients in Toledo, Maumee, Northwest Ohio, Southeastern Michigan, and surrounding locations.

How does DIEP Flap Technique Work?

DIEP or Deep Inferior Epigastric Perforation is description of the tissue that is used from the donor site to create a new breast mound. It is major blood vessel present below the rectus abdominus, which is popularly known as the “six pack” muscles in the abdominal area.

Your surgeon will remove excess skin tissue and fat from the abdomen, and transfer it to the chest area to reconstruct the breast mound. DIEP breast reconstruction plastic surgery is quite similar to another technique called TRAM flap. However, the difference is that no muscle transfer from the abdomen is involved in a DIEP reconstruction procedure.

During the procedure, your breast surgeon will remove the surplus skin and fat from the abdomen and attach it carefully to the breast area. They will then connect the donor tissue blood vessels to the existing blood vessels in the recipient site to enable natural blood flow. As a second step, the surgeon will tighten the abdominal skin and close the incisions with sutures. Temporary drain tubes will be placed beneath the skin in the newly created breast to collect excess fluid.

Advantages of DIEP Flap Breast Reconstruction

  • More natural looking breast appearance than implants
  • Breast tissue feels soft and more natural to touch
  • Abdominal integrity is maintained because no muscles are removed
  • Less discomfort and safer recovery compared to TRAM flap
  • Minimal risk of complications such as abdominal hernia
  • Longer lasting results because no implant replacements needed
  • Flatter and firmer abdominal contour
  • Less risk, less pain, and less recovery time

The general benefits with any type of breast reconstruction are also available with DIEP flap reconstruction. Your feminine curvaceous figure will be restored. The breasts will appear more symmetrical and attractive. You will feel more confident to wear tight clothes or swimwear.

Recovery and Results

Post-operative recovery will have both physical and emotional aspects following a DIEP flap breast reconstruction surgery. Compared to an implant procedure, the flap techniques usually take longer time for tissue healing because two body areas are involved (breast and abdomen). If you choose to have nipple reconstruction as well, the recovery may take additional time.

In general, patients are able to return to their normal activities in about 10 to 14 days after the cosmetic surgery. However, you should continue to avoid strenuous activities at home and workplace for about two months. The results are more natural looking and ideally suited for women who have naturally smaller breasts, or require the reconstruction only in one breast.

Cosmetic surgeon Dr. Peter Koltz receives patients from Toledo, Maumee, Northwest Ohio, Southeastern Michigan, and nearby areas for DIEP flap breast reconstruction surgery.

Contact Board Certified Plastic Surgeon, Dr. Peter Koltz in Toledo, Ohio

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, Dr. Peter Koltz please click here to contact us.

Posted on behalf of pēkomd®

7634 W. Central Avenue
Toledo, OH 43617

Phone: (567) 408-7356


Monday-Thursday: 8:00AM-7:00PM
Friday: 8:00AM-5:00PM

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Devon S.

Everyone at pēkomd® is always so welcoming and friendly! From the moment you walk through the door until you leave. Their staff is extremely knowledgeable and I always leave feeling well informed and ready to implement what they’ve taught me. The thing that sets pēkomd® apart from other plastic surgery offices is the way they really invest their time and energy into your visit. It feels like they genuinely care and that is a rarity!

Toledo Location

7634 W. Central Avenue

Toledo, OH, 43617

Phone: (567) 408-7356

Dayton Location

6728 Loop Road Suite 301

Dayton, OH, 45459

Phone: (937) 938-1248

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3458 Navarre Avenue

Oregon, OH, 43616

Phone: (567) 408-7356

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200 W. Wilson Bridge

Worthington, OH, 43085

Phone: (567) 408-7356


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