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




