Modern microsurgical techniques allow us to do just that – using your own tissue to restore the breast in a way that looks and feels authentic. Two of the most advanced options available are the DIEP flap and thigh flap reconstructions.
Using your own tissue reconstructs a breast that is soft, warm, and will change with you as you age or your weight fluctuates. Once your reconstructive journey is complete, you do not require further ‘maintenance’ surgery (you would with implant-based reconstruction), and if you are having a mastectomy on just one breast, then symmetry with the remaining breast is easier to achieve. The trade-offs for these benefits are scars elsewhere (where the flap is taken from), and a recovery that will take a little longer. Complication profiles are individual, but breast reconstruction using your own tissue is safe and the risk of a major complication is very low (around 1-2%).
The DIEP (Deep Inferior Epigastric Perforator) flap is considered the gold standard in autologous breast reconstruction. It uses skin and fat from the lower abdomen to form the new breast, while carefully preserving the abdominal muscles. This means a lower risk of long-term weakness and a smoother recovery compared to older techniques. The resultant scar is from hip to hip and around your umbilicus. Patients often appreciate the added benefit of a flatter, more contoured abdomen – similar to the effects of a tummy tuck. For those with sufficient abdominal tissue, the DIEP flap is an excellent option offering long-lasting, natural results.
In cases where abdominal tissue is unavailable or unsuitable (such as in very slim patients or those with prior abdominal surgery) we may consider a thigh-based flap, such as the TUG (transverse upper gracilis), DUG (diagonal upper gracilis), or PAP (Profunda Artery Perforator) flaps. These techniques use skin and fat (and sometimes and expendable muscle) from the inner thigh, leaving discreet scars and providing soft, shapely tissue ideal for breast reconstruction.
Thigh flaps are a refined alternative, particularly well-suited to smaller-volume reconstructions in athletic patients and offer excellent cosmetic outcomes when carefully planned and executed.
As a Consultant Plastic, Reconstructive, and Aesthetic Surgeon, I’m one of the few specialists in the country with dual expertise in reconstructive and oncological breast surgery, offering breast reconstruction using microsurgical techniques, including DIEP and thigh flaps.
The operation is typically performed by two surgeons – myself and another of my Plastic Surgery Consultant colleagues that I work with regularly, shortening the operation and speeding up your recovery. You will be up and about the day after surgery, in hospital for 3 nights, and all drains will usually be removed before you go home.
I work closely with each of my patients to create a tailored treatment plan that aligns with your cancer treatment, body, lifestyle, and aesthetic goals. Whether you are seeking immediate reconstruction following mastectomy, considering delayed breast reconstruction, or just want to understand all your options before you embark on your cancer treatment, you can expect the highest standard of care, discretion, and surgical excellence.
If you’re exploring breast reconstruction privately, I would be pleased to discuss your options and help you make an informed, confident decision about your care. For more information or to book a consultation, please call 0161 260 0131 or request a call back here.