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Dr. Daniel Maman discusses the DIEP Flap, a procedure that reconstructs breasts using a patients own tissue. Being diagnosed with breast cancer is both terrifying and overwhelming. There are dozens of decisions to be made and, typically, they need to be made quickly. One of the more confusing, and critical, of these decisions is breast reconstruction. With all of the fear and stress involved with defeating breast cancer itself, having to worry about losing your breasts at the same time can be a lot. Fortunately, there are tremendous options to the modern women who needs her breasts reconstructed. If you have to have a single or double mastectomy, there are two different ways to recreate your breast. You can use a breast implant and tissue expanders, which will enlarge a pocket of tissue on your chest that the implants will then occupy. The other option is to avoid implants all together and utilize your own tissue. Within this latter category, referred to as an autologous reconstruction, there are a number of choices, each taking tissue from different parts of the body. In the DIEP flap procedure, the plastic surgeon removes tissue from your abdomen and transplants it to your chest, creating a breast mound out of your own tissue and fat that will last your lifetime. Dr. Daniel Y. Maman of New York City discusses the many benefits of this very sophisticated, complex, and highly rewarding procedure. WHAT IS DIEP FLAP? DIEP stands for deep inferior epigastric perforators; “It’s a very complex, very specific surgery for breast reconstruction” explains Dr. Maman. It involves taking your own skin, fat and blood vessels from the lower abdomen (basically as a tummy tuck does) and transplanting this tissue up to the chest in order to recreate a breast. One of the main advantages of the DIEP flap versus other autologous reconstruction procedures is that, in most cases, no muscle needs to be cut or removed. This allows you to not only recover more quickly, but also reduces any risk of compromising your abdominal muscle strength.