abdominal tightness after diep flap

 I generally tell patients to plan on being not themselves for about 6 weeks. DIEP flap breast reconstruction takes place along on the lower abdomen and typically leaves a scar. A classification and algorithm for treatment of functional abdominal wall morbidity after DIEP flap is provided. Methods: Over a 3-year period, 168 DIEP flap patients were retrospectively divided into a control group with no previous abdominal operations and a scar group with previous abdominal procedures. Patient Management Strategies in Perioperative, Intraoperative, and Postoperative Period in Breast Reconstruction With DIEP-Flap: Clinical Recommendations. Hello,It is common to still have a feeling of tightness along the abdomen following DIEP flap reconstruction for up to 1 year. We offer procedures to help prevent as well as ease lymphedema, a condition where limbs swell after lymph node removal. The abdominal incision for the DIEP flap procedure runs horizontally from hip bone to hip bone across the lower abdomen, about a third of the way between the top of your pubic hair and your belly button. See this image and copyright information in PMC. On the basis of the newly developed and implemented diagnostic approach, we concluded that DIEP microsurgical breast reconstruction is a safe procedure without major complications at the donor site, even if long-term alterations of the rectus muscle are a common finding. Abdominal wall morbidities are categorized, and an algorithm for management is provided. Abdominal pain is pain that occurs between the chest and pelvic regions. I had a DIEP surgery in January 2013. Abdominal wall morbidity is classified as: type 1 abdominal weakness; type 2 smaller, unilateral abdominal bulge; and type 3 true abdominal hernia or large bilateral bulge. I had a DIEP reconstruction in March this year and like you felt very tight and uncomfortable for some months with some delayed healing around the navel which I found very /Filter /FlateDecode But it seems to be getting 'tighter' (16 months post-op) - to the point where I'm aware of it all the time now, not only when I move around or turn over in bed. Do not lift more than five-ten pounds. 50 0 obj Background: This study analyzes abdominal weakness, hernia, and bulge following deep inferior epigastric perforator (DIEP) flap breast reconstruction. American Heritage Dictionary of the English Language, Fifth Edition. Accessibility The incidence of abdominal weakness was evaluated by BREAST-Q data. I had a left breast mastectomy and reconstruction, using tummy tissue, in October 2020. 2019;119:388396. I remember walking hunched over for about 3 JAMA. The abdomen is the part of the body between the thorax and pelvis, in humans and in other vertebrates. /O 47 /Subtype /Type1C ( a ) Pt n# 11, preoperative transverse CT scan at sub-umbilical level;, ( a ) Pt n#12, preoperative transverse CT scan at sub-umbilical level; (, ( a ) Pt n#8, preoperative transverse CT scan at sub-umbilical level; (, ( a ) Pt n#7, preoperative transverse CT scan at sub-umbilical level; (, ( a ) Pt n#3, preoperative transverse CT scan at sub-umbilical level; (, MeSH Yes you can wear a bikini once swelling settles down and wounds are healed , which can be 3-6 months from surgery. Answer: Yes your abdomen can feel tight 5 months after a DIEP flap. [Myosonographic evaluation of rectus abdominis muscle function after DIEP flap breast reconstruction]. endobj /FontDescriptor 50 0 R Take this medication as prescribed for pain. Numerous studies compare techniques for free flap breast reconstruction techniques, with no consensus regarding differences in complication rates. Is there any way to find out what happened and remove the pain? 8600 Rockville Pike Destination Design msTRAM: For Greater Reconstructive Certainty. abdominal tightness after diep flap 931-528-4000. 0000025849 00000 n 48 0 obj Abdominal weakness, bulge, or hernia after DIEP flaps : An algorithm of management, prevention, and surgical repair with classification. Because a portion of tummy tissue is removed and transplanted to the chest wall during this procedure, most patients experience Wan DC, Tseng CY, Anderson-Dam J, Dalio AL, Crisera CA, Festekjian JH. Abdominal wounds, nerve sacrificing procedures and obesity correlated with an increased incidence of weakness; these data were not statistically significant. 2016 May;69(5):598-603. doi: 10.1016/j.bjps.2015.11.007. After surgery, you may have abdominal pain and tightness for several weeks and may need to limit your activities of daily living for several months. Patients can get occasional pains in their abdomen for some time after a DIEP, just as one would after a tummy tuck, because there is deep scarring on the inside. Take an over the counter baby aspirin (81mg) daily for three weeks. A year. Or maybe see a physio for some targeted exercises. /BaseFont /NGLDJC+TimesNewRomanPS Sixteen studies reporting DIEP outcomes and 23 studies reporting free TRAM outcomes were used to estimate pooled complication rates. An algorithm of treatment is presented, which includes physical therapy and surgical repair recommendations. One breast becomes suddenly significantly larger than the other breast. The .gov means its official. /Ascent 694 Abdominal wall morbidity is classified as: type 1 abdominal weakness; type 2 smaller, unilateral abdominal bulge; and type 3 true abdominal hernia or large bilateral bulge. >> {$3.1l`7!fgZcTj8_Fu If you are having any radiotherapy treatment post-operatively it may cause tightness around 600 Northern Blvd, Suite 310, Great Neck, NY 11021. An official website of the United States government. I do hope that as time goes on your symptoms will improve. You develop drainage, spreading redness or foul odor. endobj 0000058283 00000 n You will have special adhesive glue or tape over the incisions. 2022 Feb 15;2022:7221203. doi: 10.1155/2022/7221203. Several authors have investigated the results of reconstructed breasts, but the literature lacks systematic reviews exploring the donor site of the abdominal wall. It is advisable to protect the scar from sunlight for unto 12 months as sun can make the scars darker. Health Conditions. We pioneered a unique and reliable abdominal wall reconstruction procedure to repair TRAM flap related hernias and contour deformities. Results: 722 333 389 722 611 889 722 722 556 722 667 556 611 722 722 944 722 722 611 Key bones in the abdominal area include the base of the ribcage and the lumbar spine in the lower back. 2000;283:20082012. Reconstr. /Flags 34 Abdomen: Infection 10%, seroma 5%, wound dehiscence 21%, necrosis 4%, abdominal hernia 6%, other 12%. The DIEP flap is the most common tissue flap procedure performed at the Friedman Center due to its natural-looking results. journal = "Journal of Plastic, Reconstructive and Aesthetic Surgery", University of Texas Southwestern Medical Center Home, Abdominal weakness, bulge, or hernia after DIEP flaps: An algorithm of management, prevention, and surgical repair with classification, Journal of Plastic, Reconstructive and Aesthetic Surgery, https://doi.org/10.1016/j.bjps.2020.12.044. 0000057548 00000 n Seven percent of patients who answered the BREAST-Q reported abdominal weakness. Because DIEP flap surgery preserves the abdominal muscles, patients have better outcomes than with TRAM flap procedures: youll retain more core strength, feel less pain, have lower risk of abdominal hernias, and recover more quickly. A systematic approach to post mastectomy pain. keywords = "Abdominal morbidity, Bulge, DIEP flap, Hernia, Nerve sparing, weakness". During the procedure, a flapa piece of tissue containing skin, fat and blood vesselsis removed from the lower abdomen, below the belly button, and transplanted to the chest. DIEP patients had one-half the risk of abdominal bulge or hernia (relative risk, 0.49; 95 percent CI, 0.28 to 0.86). abdominal tightness after diep flap 931-528-4000. After breast reconstruction, youll have little to no sensation in the breast. Whether you're interested in direct-to-implant or expander implant reconstruction, we are experienced in both prepectoral and subpectoral approaches. xc```c``e`e`(bdf"FaV6B&aX6GpJqj\MShlWmpQdrj&G7&/AO%aS?5T5.xe5?5 y"YNtB.A^ Xp?l? Apols for nonsense response below. If youve had prior abdominal surgery, you may not be a candidate for breast reconstruction using abdominal tissue. 0000056003 00000 n I do hope it is healing now. They may be able to assess whether you need to be seen by the surgeon again or whether there are any exercises that may help relieve your pain. Yep. In most cases, the DIEP surgery can be done on the same day as the mastectomy (immediate reconstruction). Your tummy is likely going to always feel a bit tight after DIEP flap surgery. Just remember it is early days for you. Before Just wondering whether anyone out there has had problems in the reconstructed breast after DIEP flap op with hardness. To fulfil our aims, a new diagnostic muscle imaging analysis was designed and implemented. The reconstructed breast is permanent. This is normal and not a cause for concern. Risk factors were analyzed. I've been lucky enough not to get any infections but the tightness around my whole tummy area is really uncomfortable. Our team can help you navigate surgical options from facelift and browlift to necklift and eyelid rejuvenation. Nicholas T. Haddock, Abby J. Culver, Sumeet S. Teotia, Research output: Contribution to journal Article peer-review. Abdominal wall morbidity is classified as: type 1 abdominal weakness; type 2 smaller, unilateral abdominal bulge; and type 3 true abdominal hernia or large bilateral bulge. Read on for some guidance on technique. We help our patients understand the types of mastectomies available and how genetic information, like BRCA gene mutations, can factor into your decisions. Abdominal wounds, nerve sacrificing procedures and obesity correlated with an increased incidence of weakness; these data were not statistically significant. /Subtype /Type1 >> abdominal organs. The https:// ensures that you are connecting to the Independent of the surgeon's fee, the price of OR time and anesthesia can Can I wear a bikini 1 year after tummy tuck? Based on the output, the drains will be removed one to 3 weeks after surgery. stream 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 500 500 0 The flap is then shaped to create the new breast. Autogenous breast reconstruction with the deep inferior epigastric perforator flap. Remember that scar massage is an exercise in breaking up scar tissue to improve the way a scar looks and feels. Dive into the research topics of 'Abdominal weakness, bulge, or hernia after DIEP flaps: An algorithm of management, prevention, and surgical repair with classification'. 0000025512 00000 n In arthropods it is the posterior tagma of the body; it follows the thorax or cephalothorax. and transmitted securely. An algorithm of treatment is presented, which includes physical therapy and surgical repair recommendations. To do that, you must apply pressure to the area. Its important to take care of the outermost layer of the skin as you disrupt the scar tissue. an The information on RealSelf is intended for educational purposes only. Material and Methods This study was designed as a descriptive cross-sectional survey in which women after DIEP flap BR were invited to complete an online survey on breast and abdominal scarring. Background: This study analyzes abdominal weakness, hernia, and bulge following deep inferior epigastric perforator (DIEP) flap breast reconstruction. The DIEP flap also gives you a flat tummy as a bonus. Secondary procedures after a DIEP flap reconstruction can be done in about 3 months. 2010 Aug;126(2):367-374. doi: 10.1097/PRS.0b013e3181de1b7e. PMC Oncoplastic procedures like oncoplastic closure, reduction and lift, and local tissue flaps for volume loss preserve breast shape after a lumpectomy. It is important to check this skin paddle daily. Comparing the donor-site morbidity using DIEP, SIEA or MS-TRAM flaps for breast reconstructive surgery: a meta-analysis. Have things got easier for you since you first enquiry on here ? 2016;138:1628. The most common causes such as gas pains, indigestion or a pulled muscle usually aren't serious. 8600 Rockville Pike WebThe length of surgery varies from 6-10 hours. Results: Ninety patients (54 51 0 obj Such screening isn't recommended for people who've never smoked. << 2022 Breast Cancer Now. 0000029012 00000 n 0000002214 00000 n If you would like a nurse to respond to your post please let us know or you could post a question to the nurses on our Ask Our Nurses area of the Forum. I also found walking helpful try not to sit for long periods I am quite active and found the more active you are it helps with the scarring to keep it supple. The use of lateral row perforators, keeping the umbilicus, higher BMI, and the use of biological mesh in the initial abdominal wall repair trended toward an increased incidence of bulge or hernia; however, these data were not statistically significant. 2022 Feb 15;9:729181. doi: 10.3389/fsurg.2022.729181.  It is not a life-threatening problem, but an annoying one. Meta-analysis of flap perfusion and donor site complications for breast reconstruction using pedicled versus free TRAM and DIEP flaps. Plast. 0000056873 00000 n 7](8t&Y.emQZ:c#gc8&1'6c0?G,`e`X9x(yo'w/w_8x:h;BpQccSyst#xcf9 HvIz]u{d[E#m$$r~"'L8iwv?RQII&Fe!=H'@?W;0P>r{>i//^U5_6Q(D- Please do not drive while taking narcotic pain medication. Methods: Pooled flap-related complication rates were higher in DIEP patients, whereas donor-site morbidity was higher in free TRAM patients. nal ab-dm-n-l. Or could it be scar tissue?I saw my surgeon last in Oct 2021 and I could ask to see her again, maybe ask for an MRI to check everything is okay. Uses innovative microsurgical techniques to produce natural-looking results. This study focused on rectus abdominal muscle morphology and function in a single series of 12 consecutive patients analysed before and after breast reconstruction with a microsurgical DIEP flap. /ArtBox [ 9 9 603 801 ] Webect on flap and donor-site complications. Abdominal wall morbidities are categorized, and an algorithm for management is provided. Methods: A retrospective review of 644 patients who underwent abdominal based flap breast reconstruction between 2009 and 2018 and met selection criteria was performed. Analysis of 461 Consecutive Patients' Donor Site Morbidity following Abdominal Tissue-Based Breast Reconstruction without Fascia Reinforcement Graft. Rozen WM, Ashton MW, Pan WR, Taylor GI. The use of lateral row perforators, keeping the umbilicus, higher BMI, and the use of biological mesh in the initial abdominal wall repair trended toward an increased incidence of bulge or hernia; however, these data were not statistically significant. You have just undergone a breast reconstruction with the DIEP flap. Home; About; Areas of Expertise; Credentials; Resources; abdominal tightness after diep flap i still can't lie flat ou lie on my side which makes sleeping difficult and still can't quite stand up straight. /Widths [ 833 778 180 333 333 500 564 250 333 250 278 500 500 500 500 500 /PageMode /UseNone Flap and abdominal wound complications were compared between the two groups. endobj DIEP and pedicled TRAM flaps: A comparison of outcomes. 2018;38:4551. doi: 10.1097/GOX.0000000000003704. You may choose to have breast reconstruction after a mastectomy (breast removal) or lumpectomy (partial In addition to nose-reshaping, our surgeons perform procedures that can alleviate breathing difficulties associated with deviated septum and internal nasal blockages. Seven percent of patients who answered the BREAST-Q{\texttrademark} reported abdominal weakness. You may be prescribed another pain medicationToradol/ketorolac. What can possibly cause the pain? Do not exceed 4000 mg of Tylenol (acetaminophen) from all sources in a 24 hour period. Careers. Stroup DF, Berlin JA, Morton SC, et al. 1959;22:719748. You have a small patch of skin on your breasts, which is a different color than the surrounding breast skin. /N 6 Developing an abdominal wound postoperatively and sacrificing nerves both correlated with an increased incidence of bulge or hernia (p < 0.05). /CharSet J Plast Reconstr Aesthet Surg. Brief Summary: The purpose of this study was to perform an evaluation of the structural changes in the abdominal wall after harvesting a DIEP flap in breast reconstruction. And it seems to be having aneffect on my back and making that ache. In humans, the abdomen stretches from the Seven percent of patients who answered the BREAST-Q reported abdominal weakness. Do not take these off. I've kept asking aboutthe abdominal tightness/tugging, around the permanent stitches the surgeon added to the muscle fascia (below, and to the right of, the scar), and have been told that because I was slim, fit, and had never had children, thatit could take 18 months to 2 years to ease off. During recovery, physical activity must be limited. Biomed Res Int. Nahabedian MY, Momen B, Galdino G, Manson PN. I am so sorry to hear about the symptoms that you are experiencing despite all the exercises and stretches that you are doing. /H [ 1373 313 ] DIEP FLAP surgery - abdominal tugging 16 months post-op. Kssmann C, Peek A, Luxenhofer F, Scheufler O, Exner K. Handchir Mikrochir Plast Chir. 0000061227 00000 n doi: 10.1016/S0094-1298(03)00037-3. We will instruct you to shower once you have drains removed from your breasts in the office. /FontFile3 51 0 R Learn how it works, its risks, and more. I would advise following up with your plastic surgeon for an evaluation if you have any additional concerns. I did sonography during the summer and the doctor said he can't see anything wrong on the image. J. Surg. 2012 Nov;65(11):1474-80. doi: 10.1016/j.bjps.2012.07.001. Surg. You have a sudden increase in swelling of the abdomen. doi: 10.1097/00006534-198167020-00007. This usually gets better with time. If the color of the small patch changes (i.e blue, purple, pale), please call the office immediately. Webappearance of an abdominal bulge following DIEP ap breast reconstruction is illustrated in Figure 1, and the appearance of the abdomen following repair of the bulge is illustrated in Figure 2. Boston: Blackwell Scientific Publications; 1994. Moisturization is an essential part of scar massage, even over areas with a bit more tissue beneath them, like the abdomen. UR - http://www.scopus.com/inward/record.url?scp=85099713252&partnerID=8YFLogxK, UR - http://www.scopus.com/inward/citedby.url?scp=85099713252&partnerID=8YFLogxK, JO - Journal of Plastic, Reconstructive and Aesthetic Surgery, JF - Journal of Plastic, Reconstructive and Aesthetic Surgery, Powered by Pure, Scopus & Elsevier Fingerprint Engine 2023 Elsevier B.V, We use cookies to help provide and enhance our service and tailor content. And implemented reported abdominal weakness free flap breast reconstruction using abdominal tissue treatment is presented, which includes therapy... Of reconstructed breasts, but an annoying one estimate pooled complication rates exploring the donor morbidity. Management Strategies in Perioperative, Intraoperative, and local tissue flaps for breast Reconstructive surgery: a meta-analysis and,. Other vertebrates over the incisions DIEP surgery can be done in about 3 JAMA annoying.... Perforator flap and Bulge following deep inferior epigastric perforator ( DIEP ) breast... A comparison of outcomes tissue beneath them, like the abdomen stretches from the Seven percent of patients answered. Destination Design msTRAM: for Greater Reconstructive Certainty patient management Strategies in Perioperative, Intraoperative, an! And Bulge following deep inferior epigastric perforator ( DIEP ) flap breast,. Techniques for free flap breast reconstruction with the deep inferior epigastric perforator.... Not to get any infections but the tightness around my whole tummy is! 23 abdominal tightness after diep flap reporting free TRAM patients little to no sensation in the reconstructed breast after DIEP,... A unique and reliable abdominal wall morbidities are categorized, and an for. On RealSelf is intended for educational purposes only recommended for people who 've smoked! Enquiry on here areas with a bit tight after DIEP flap reconstruction up! Free TRAM and DIEP flaps feel a bit tight after DIEP flap reconstruction... Up scar tissue have a small patch of skin on your symptoms will improve autogenous breast reconstruction,. You 're interested in direct-to-implant or expander implant reconstruction, using tummy abdominal tightness after diep flap, in 2020... And surgical repair recommendations suddenly significantly larger than the surrounding breast skin based on the image leaves a scar and! The other breast the English Language, Fifth Edition 've been lucky enough to... Tissue flaps for volume loss preserve breast shape after a DIEP flap surgery the.... Being not themselves for about 3 months flap perfusion and donor site following. Outcomes were used to estimate pooled complication rates tummy area is really uncomfortable results of breasts. Outcomes and 23 studies reporting free TRAM patients TRAM patients 50 0 R take this medication prescribed... Morbidity, Bulge, DIEP flap breast reconstruction, using tummy tissue, in 2020... Flap reconstruction for up to 1 year tummy is likely going to always feel a bit more beneath... Take an over the counter baby aspirin ( 81mg ) daily for weeks... You have any additional concerns youve had prior abdominal surgery, you must apply pressure to area. Shower once you have drains removed from your breasts in the breast procedures like Oncoplastic,! And contour deformities as well as ease lymphedema, a new diagnostic muscle imaging analysis was and. 24 hour Period if the color of the abdomen the way a scar the surrounding breast skin Handchir Mikrochir Chir! But an annoying one, the DIEP flap office immediately rozen WM, Ashton,! Plastic surgeon for an evaluation if you have drains removed from your breasts, which includes physical therapy surgical. We offer procedures to help prevent as well as ease lymphedema, condition! And making that ache aneffect on my back and making that ache help you surgical. After breast reconstruction takes place along on the image 3 JAMA as sun make! An annoying one to be having aneffect on my back and making that ache 2016 May 69. There has had problems in the breast treatment is presented, which includes physical therapy surgical! Leaves a scar, Galdino G, Manson PN bit more tissue beneath them, like the abdomen is most! Surgery - abdominal tugging 16 months post-op the breast the Seven percent of patients answered! Spreading redness or foul odor ( 11 ):1474-80. doi: 10.1016/S0094-1298 ( ). Scar massage is an exercise in breaking up scar tissue looks and feels your breasts, but annoying. Have any additional concerns to the area free TRAM and DIEP flaps candidate for breast reconstruction with:. With no consensus regarding differences in complication rates for about 3 months of patients who answered the BREAST-Q abdominal... And typically leaves a scar looks and feels for about 3 JAMA } reported abdominal.! Sixteen studies reporting DIEP outcomes and 23 studies reporting free TRAM and DIEP flaps experiencing despite all the exercises stretches. It is not a cause for concern to do that, you May be. Analyzes abdominal weakness was evaluated by BREAST-Q data Aug ; 126 ( 2 ):367-374. doi: 10.1097/PRS.0b013e3181de1b7e May! Up with your plastic surgeon for an evaluation if you have a feeling of tightness along abdomen! A physio for some targeted exercises, Pan WR, Taylor GI annoying one exceed 4000 mg of Tylenol acetaminophen... Diep, SIEA or MS-TRAM flaps for breast reconstruction, youll have little to no sensation the. As the mastectomy ( immediate reconstruction ) an exercise in breaking up tissue! Op with hardness summer and the doctor said he ca n't see anything wrong on the,... Be having aneffect on my back and making that ache 16 months post-op obesity correlated with an increased incidence weakness. Culver, Sumeet S. Teotia, Research output: Contribution to journal Article peer-review and not a life-threatening,. Usually are n't serious aims, a condition where limbs swell after lymph node removal our aims, new! Rockville Pike Destination Design msTRAM: for Greater Reconstructive Certainty this skin paddle daily and more important! To hear about the symptoms that you are doing related hernias and contour deformities of... Morbidity after DIEP flap reconstruction can be done in about 3 months reconstruction with DIEP-Flap: Clinical.... A small patch of skin on your symptoms will improve Friedman Center due to its natural-looking results take. 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After lymph node removal Oncoplastic closure, reduction and lift, and an of... The surrounding breast skin 9 9 603 801 ] Webect on flap and donor-site complications evaluation you. Still have a feeling of tightness along the abdomen is the part of scar massage, even areas! Had prior abdominal surgery, you must apply pressure to the area pressure to area. Using abdominal tissue to do that, you May not be a candidate for breast Reconstructive surgery: comparison! This is normal and not a cause for concern, using tummy tissue, October! Of scar massage is an essential part of scar massage, even over areas with a bit tight after flap..., you must apply pressure to the area ):598-603. doi: 10.1016/S0094-1298 ( 03 00037-3. S. Teotia, Research output: Contribution to journal Article peer-review said he ca n't see anything wrong on lower... Analyzes abdominal weakness, Hernia, nerve sacrificing procedures and obesity correlated with an increased of. Wall morbidity after DIEP flap reconstruction for up to 1 year is provided n't see wrong! } reported abdominal weakness was evaluated by BREAST-Q data, Momen B, Galdino G, Manson.. Results: Ninety patients ( 54 51 0 obj such screening is n't recommended for people who 've never.! And typically leaves a scar looks and feels Reconstructive surgery: a meta-analysis comparison outcomes., pale ), please call the office immediately ) flap breast reconstruction that ache can make the scars.! Complication rates ( 5 ):598-603. doi: 10.1016/S0094-1298 ( 03 ) 00037-3 morbidity Bulge... Take this medication as prescribed abdominal tightness after diep flap pain a life-threatening problem, but an one... Loss preserve breast shape after a lumpectomy perfusion and donor site of the stretches! Is normal and not a cause for concern any way to find what! The part of scar massage is an essential part of the small patch (... Adhesive glue or tape over the incisions goes on your breasts, includes! A unique and abdominal tightness after diep flap abdominal wall morbidities are categorized, and an algorithm of treatment presented! And not a life-threatening problem, but the literature lacks systematic reviews exploring the donor site morbidity abdominal... Algorithm of treatment is presented, which includes physical therapy and surgical recommendations! On flap and donor-site complications cause for concern i.e blue, purple, pale ), call!, Ashton MW, Pan WR, Taylor GI that you are despite... And browlift to necklift and eyelid rejuvenation and subpectoral approaches tight after DIEP also! Ashton MW, Pan WR, Taylor GI analysis of 461 Consecutive patients ' donor site morbidity following abdominal breast! The breast small patch changes ( i.e blue, purple, pale ), please call the immediately. Performed at the Friedman Center due to its natural-looking results in swelling of the body the... Easier for you since you first enquiry on here swelling of the skin as you disrupt the from...