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Preparation for DIEP, fat transfers?

Page last modified on: September 30, 2008
Question from Allison M: What is the best way to prepare physically for the DIEP operation? Also, is it possible to use fat removed by liposuction from other areas of the body, (e.g. upper thighs) to increase a reconstructed breast, or is the only option a synthetic implant?
Answer —Carolyn Chang, M.D.: Fat transfers can be done; however, it's very difficult to achieve any amount of bulk. So generally speaking, we use fat grafting for fine, specialized areas such as wrinkles in the face or maybe in the hands. It would be very difficult to transfer enough fat to make an impact on the breast mound. That's simply because a very large percent of any fat graft does not take as a graft with any transfer. To prepare for the DIEP operation, just as you would need to prepare for any operation, be a healthy non-smoker, stay away from herbs or aspirin products before surgery, and make sure your nutrition levels and blood counts are good.

On Wednesday, April 20, 2005, our Ask-the-Expert Online Conference was called Reconstruction and Safe, Sexy Cosmetics. Carolyn C. Chang, M.D., Anna-Dee Rinehart, S.C.S., and moderator Lillie Shockney, R.N., B.S., M.A.S. answered your questions about reconstructive surgery and safe, sexy cosmetics.

The materials presented in these conferences do not necessarily reflect the views of breastcancer.org. A qualified healthcare professional should be consulted before using any therapeutic product or regimen discussed. All readers should verify all information and data before employing any therapies described here.

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Meet the Experts

Carolyn C. Chang, M.D. is a board-certified plastic surgeon specializing in breast reconstruction after mastectomy, TRAM flap reconstruction, and implant reconstruction.

Anna-Dee Rinehart S.C.S. is a nurse-aesthetician, aesthetic instructor, and director of education for Austin Medical Aesthetics in Austin, Texas.

Lillie Shockney, RN., BS., M.A.S.Lillie Shockney, R.N., B.S., M.A.S. is the administrative director of the Johns Hopkins Avon Foundation Breast Center.

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