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DIEP Flap Breast Reconstruction

Sarah Cannon at Sky Ridge Medical Center

New Options for Women after Mastectomy

After her mastectomy at the age of 28, Lisa Moore lived without her left breast for more than six years while she and her husband grew their young family. She had been diagnosed with breast cancer in December 2002 and had a mastectomy in January 2003. Because she had learned she was pregnant shortly before the mastectomy, she opted to forgo reconstructive surgery to rebuild her breast, which would have lengthened her time in surgery and increased the risk to her pregnancy.

Six years and four daughters later, Lisa was ready to have her breast reconstruction. She was relieved to learn that both Dr. Christopher Williams and Dr. Jeremy Williams* perform DIEP (deep inferior epigastric perforator) flap breast reconstruction at Sky Ridge Medical Center.

Breast Reconstruction Options

Reconstructive Breast Surgery

Woman in Winter CoatDuring treatment for breast cancer, surgery to reconstruct the breast is offered as part of every woman's care at Sky Ridge. While some women may undergo breast conservation surgery (lumpectomy), others may have a mastectomy to remove the entire breast. For these women, reconstructive options traditionally have included implants or surgical reconstruction with a procedure known as the TRAM (transverse rectus abdominus myocutaneous) flap.

The TRAM flap, the most commonly performed breast reconstruction procedure, entails rotating a flap of abdominal tissue to create a new breast. Because TRAM flap operations remove some of the abdominal muscle, women permanently lose some degree of abdominal strength and function, and they face an increased risk of hernia, weakness, constipation and other problems.

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Restorative Breast Surgery

*Christopher Williams, MD, and Jeremy Williams, MD are not related, but they trained together at Johns Hopkins University in Baltimore and are now partners in practice at The Breast Center Park Meadows Cosmetic Surgery. In addition to performing unilateral and bilateral DIEP and SIEA (not covered in this article) flap surgery at Sky Ridge, they provide the full spectrum of cosmetic and reconstructive surgery.