I’m wondering can you do a DIEP flap and fat grafting to make a full breast at same time during same surgery procedure?
Generally, we will perform the DIEP flap first and allow the patient to heal and recover. Then we can re-evaluate the volume and projection of the breast. The reconstructed breast may need a breast lift at the time of revision, which will certainly improve the projection of the breast, making it appear more full and youthful. Fat grafting may be used in addition to add volume and smooth out any contour irregularities to make the best possible result.
— Craig Blum, M.D., F.A.C.S.