B.E.S.T. DIEP Flap

Jandali Plastic Surgery

At Jandali Plastic Surgery in Trumbull, Connecticut, we believe in empowering our patients through transformations that enhance their bodies and elevate their self-esteem. Our range of body-enhancing surgical techniques is meticulously designed to meet individual patients’ desires, from subtle modifications to significant alterations, all performed with an unwavering commitment to safety and quality.

With DIEP flaps being the most commonly performed flaps for breast reconstruction, our team has developed multiple ways to enhance the cosmetic outcome. We now perform B.E.S.T. DIEP flaps on almost all of our patients.

An In-Depth Look at Body-Enhancing Surgical Techniques

B.E.S.T. = Body Enhancing Surgical Technique

With all of the techniques discussed below, we optimize the reconstructed breasts’ final result and obtain the best abdominal contour after the DIEP flaps are harvested.

What is included in B.E.S.T. DIEP flaps?

Breast Enhancing Techniques:

Breast lift with the DIEP flap. Many times, this part of the procedure is performed at the time of the mastectomies when tissue expanders are placed. Free nipple grafts are used when necessary to lift the breasts. The tissue expanders pre-form perfect pockets for the DIEP flaps to later be placed into. We mark all of our scars in a breast lift pattern, which is much more cosmetically pleasing. We avoid the classic long mastectomy scars across the breast whenever possible. Please visit our gallery to see multiple examples of breast lifts performed with DIEP flaps.
Symmetrizing procedures on the breasts. We perform all necessary procedures to obtain better symmetry between the breasts. This may include further breast lifting, liposuction of areas that are too full, and fat grafting to slightly hollow areas.
Scar optimization. Scars are placed in breast lift patterns, mostly hidden around the nipple/areola and along the bottom of the breasts. This gives the best cosmetic outcome. This avoids the classic long scar across the middle of the breast, which can flatten the breast and give a suboptimal shape. Patients don’t want scars across the middle of the breast as it is a permanent stigmata of breast cancer and mastectomy.
Fat grafting to the breasts with DIEP flaps. Fat grafting is performed at the second stage of all DIEP flap breast reconstructions. This technique is of utmost importance for better symmetry and the most natural result.
Laser hair removal after DIEP flaps. Sometimes some of the skin from the abdomen needs to be left on the breast due to previous radiation therapy, or if the nipple/areola needs to be removed with the mastectomy. In these cases, abdominal hair can sometimes grow on the breast. Our practice offers laser hair removal for treatment of the breasts if this occurs.
Scar laser treatment. We offer laser treatment of scars to optimize results. Laser treatment can help soften thickened scars and fade pigmented scars.

Abdominal Enhancing Techniques:

Correction of rectus diastasis. Patients often have separation of their abdominal muscles from previous weight gain or pregnancy. We optimize the abdominal contour by repairing the rectus diastasis after harvesting of the DIEP flaps. This gives a much flatter abdominal appearance once healed.
Reinforcement of the abdomen with absorbable mesh. After harvesting the DIEP flaps from the abdomen and repairing the rectus diastasis, we reinforce the tightened abdominal wall with an absorbable mesh. This helps prevent a postoperative abdominal bulge or weakening.
Liposuction of the abdomen. Liposuction of the abdomen is routinely performed at the second stage revision procedure. This helps contour the sides as well as the front of the abdomen. This helps patients look and feel their best after surgery.

Begin Your Transformation with B.E.S.T. DIEP Flaps in Connecticut

Embrace the transformation that awaits you. If you’re considering breast reconstruction with DIEP flaps, we’re here to offer expertise and tailored guidance. To learn more about our unique B.E.S.T approach and how it can optimize your reconstruction and recovery process, don’t hesitate to reach out.

Our team is ready to guide you through every step of your journey, from understanding the surgical process to managing postoperative recovery. In your consultation, Dr. Jandali will present photos of previous patients who have undergone B.E.S.T. DIEP flap reconstruction, offering a clear vision of the promising transformation ahead.

Begin your journey towards renewal and enhanced self-confidence today. Contact our office and schedule a consultation with us at (203) 374-0310. The path towards your new self is just a phone call away, and we at Jandali Plastic Surgery are dedicated to walking that path with you, every step of the way.

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I recently had a double mastectomy with reconstruction and Dr. Jandali is not only great at what he does, he is an amazing surgeon and perfectionist that is kind and warm with an exceptional staff. Each person I have met in his office is wonderful all across the board his office is a fantastic place that I highly recommend to anyone, you will not be uncomfortable or disappointed. All the girls on his team are truly the BEST he sure knows how to pick his staff, LOVE them!!! I look forward to my visits and am beyond grateful to be in the best care. Thankful to all of you for my experience I can't say enough. :-)

This is a wonderful place. I came to Dr. Jandali’s office after finding out I had breast cancer. It was such a scary time in my life but Dr. Jandali made me feel comfortable and explained my options for reconstruction after mastectomy. I opted for the DIEP flap and am very happy with the results. Dr. Jandali basically performs magic in making things look better. He and his entire staff are so professional and kind. The PAs Jennifer, Brielle, and Shelby are amazing. They spent so much time with me explaining everything along the way and answering any questions I had. Plus, it is obvious that they really care. I am actually going to miss seeing them.

I met Dr. Jandali and his team after making the decision to undergo a double mastectomy with reconstruction. At 32 years old, learning I was BRCA2 positive and having two toddlers at home, I was so scared and didn’t know what to expect. Between Dr. J & Shelby, I was immediately put at ease and walked through the entire process. Shelby, was and is, still my strength when I walk into the office. She has reassured me, talked me through all my emotions, and has been AMAZING on this journey. I can’t thank Shelby enough. And Dr. J and his expertise, made me feel like myself again, it’s like I came out of this better then ever! Thank you all!!

I cannot recommended Dr. Jandali enough for any women who are undergoing DIEP flap reconstructive surgery after mastectomy. Dr. Jandali and his phenomenal staff are so not only knowledgeable and extremely capable but kind and sensitive to the situation that their patients are going through. They take their time to explain every step of the surgery, even taking the time to draw pictures and answer any questions I had. I was very well informed about what would take place and my expectations were well exceeded. Being diagnosed with breast cancer was a challenge but I cannot express my gratitude that I had Dr. Jandali and his team on my side.

I walked into Dr. Jandali’s office for a consultation with so much sadness and fear of what lie ahead for me. I had previously met with a few other plastic surgeons but knew after meeting with Dr. Jandali that he would be my surgeon. He was beyond thorough in his explanation of the whole procedure from start to finish and I could tell he would be overly cautious to prevent infection or any chance of something going wrong. He is a perfectionist in every sense of the word. In addition his staff was always so personal and professional and available to answer any and all questions.

After being diagnosed with breast cancer I was scared. I immediately felt at ease when I had my first visit with Dr. Jandali. He explained everything in detail about the breast reconstruction I would be having and made me feel at ease. On surgery day his amazing PA Brielle made sure I knew she was right there in the operating room with me and held my hand to comfort my anxiety until I was asleep. I’m so happy with my results after only 1 week post op. The entire staff is so friendly.