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DIEP Flap

Who is suitable.

Need to have enough of a

‘tummy’ for a tummy tuck.

Not too much. BMI 30-35

maximum.

Need to be well motivated.

Fit

Contraindications

Very obese (BMI >35), smokers,

diabetics, hypertensives.

Previous surgery to abdomen

compromising pedicle and flap size

Chest wall radiotherapy may

compromise the pedicle if needs to be

plumbed into the internal mammary.

Axillary RT or poor quality surgery may

compromise the pedicle if to be

plumbed into the thoracodorsal vessels