SIEA Flap

Jandali Plastic Surgery

SIEA Flap Breast Reconstruction

SIEA (superficial inferior epigastric artery) flap breast reconstruction is a type of breast reconstruction surgery that uses tissue from the lower abdomen to rebuild the breast. Unlike other types of flap reconstruction such as the TRAM flap which uses muscle and tissue from the abdomen, the SIEA flap technique only uses the skin and fat from the lower abdomen. An SIEA flap is similar to a DIEP flap for breast reconstruction but there are no incisions in the abdominal wall fascia or muscle.

Benefits of SIEA Flap Breast Reconstruction

There are several benefits to undergoing SIEA flap breast reconstruction over other types of flap reconstruction:

Minimally invasive: Because the surgery only uses skin and fat from the lower abdomen, it is less invasive than other types of flap reconstruction that require muscle to be removed or the fascia to be incised..
Natural-looking results: SIEA flap breast reconstruction can provide natural-looking results that are similar in shape, size, and texture to the natural breast.
Shorter recovery time: Because the surgery is less invasive, the recovery time is often shorter than other types of flap reconstruction. Patients may be able to return to their normal activities more quickly.
Reduced risk of complications: Because the muscle and fascia of the abdomen are left intact, there is a reduced risk of complications such as abdominal weakness and bulge.
Improved abdominal contour: The removal of excess skin and fat from the lower abdomen results in a flatter, more toned abdominal contour, similar to a tummy tuck.

SIEA Flap vs DIEP Flap

It is often difficult to know before surgery if a patient is an ideal candidate for an SIEA flap. The plan is usually made for a DIEP flap and then based on the findings during surgery, an SIEA flap will be performed if possible. Both flaps harvest the same tissue of the lower abdomen and transplant the tissue into the breast. However, if the superficial vessels that are needed for the SIEA flap are found to be too small during surgery, an SIEA flap can not be performed. The procedure will then default to a DIEP flap.

SIEA Flap Surgery

Many patients find the SIEA flap breast reconstruction procedure to be a positive experience that helps restore their confidence and sense of femininity after breast cancer. The procedure provides a natural-looking result, and the flap of tissue from the lower abdomen can also help contour and flatten the abdomen for a more aesthetically pleasing appearance.

The SIEA flap breast reconstruction process typically involves the following steps:

Consultation: During your initial consultation, Dr. Jandali will evaluate your medical history and perform a physical exam to determine if you are a good candidate for the procedure. They will also discuss the details of the procedure and what you can expect during the recovery period.
Imaging: Before the procedure, Dr. Jandali will order a CT angiogram to assess and map out the deep perforators (small blood vessels) and also the superficial vessels in the abdominal area. This helps determine which vessels are the best to use for the surgery and their location.
Surgery: The SIEA flap breast reconstruction procedure is performed under general anesthesia. The anesthesia team also performs nerve blocks in both the breast area and the abdomen to help with postoperative pain control. Dr. Jandali and his team will harvest the flap of tissue from your lower abdomen and transfer it to the chest area. The blood supply to the tissue will be reestablished and then the tissue will then be sculpted into the shape of a breast.
Recovery: After the procedure, patients are monitored in the ICU or the intermediate care unit where the nursing staff can monitor the blood flow to the flap every hour. Patients are usually discharged home after 48 hours. Dr. Jandali will provide detailed instructions for post-operative care, including wound care and pain management.
Follow-up: Dr. Jandali will schedule follow-up appointments to monitor your progress and ensure that you are healing properly. You may also need to undergo additional revision procedures, including nipple reconstruction or breast lift, to achieve the best end result.

It’s important to keep in mind that every patient is different, and the exact treatment process and timeline may vary based on your individual needs and goals. Dr. Jandali will provide a personalized plan for your SIEA flap breast reconstruction procedure to ensure the best possible outcome.

Ideal Candidates for SIEA Flap

SIEA flap breast reconstruction may be right for you if you:

Have enough excess abdominal tissue to use for reconstruction.
Do not have a history of abdominoplasty or large hernia repair with mesh
Do not smoke or have other medical conditions that may compromise healing
Are seeking a natural-looking result without the use of an implant

Frequently Asked Questions

How long does SIEA flap reconstruction take?

The length of the surgery will depend on the complexity of the procedure and the patient’s individual case. Generally, SIEA flap breast reconstruction can take anywhere from 4 to 6 hours for one breast and 8-9 hours for both breasts.

What is the recovery time like after SIEA flap breast reconstruction?

The recovery time for SIEA flap breast reconstruction is typically a bit shorter than other types of flap reconstruction. Most patients have all drains removed within two weeks. Most patients can drive and return to work within 2-3 weeks. Patients may be able to return to their normal activities and exercise within 6-8 weeks after the surgery. However, it is important to follow all post-operative instructions to ensure proper healing.

Will there be scars after SIEA flaps?

Yes, there will be scars after the surgery. However, the scars will be on the breasts and hidden in the lower abdominal area and can be easily covered with clothing. Over time, the scars will fade and become less noticeable.

Are there any risks or complications associated with SIEA flap breast reconstruction?

Like any surgery, there are risks and complications associated with SIEA flap breast reconstruction, such as bleeding, infection, blood clots, fat necrosis, and issues with wound healing. However, the risks are generally low and can be minimized with proper surgical technique and post-operative care.

Will the reconstructed breasts look and feel natural after SIEA flaps?

Yes, the reconstructed breasts can look and feel very natural after SIEA flaps. It often looks like patients have only undergone a breast lift after surgery. However, it is important to discuss your expectations with Dr. Jandali to ensure that they can be met.

Why Choose Jandali Plastic Surgery for Your SIEA Flap Breast Reconstruction?

At Jandali Plastic Surgery, located in Fairfield County, Connecticut, our team of experts are dedicated to providing the highest quality of care for our patients. We use the latest techniques and technologies to deliver beautiful and natural-looking results, and our team of experienced professionals is committed to ensuring that you are fully informed and comfortable throughout every step of your journey.

If you are considering SIEA flap breast reconstruction, we invite you to schedule a consultation with us. During your consultation, we will listen to your concerns, answer your questions, and help you determine if this procedure is right for you.

At Jandali Plastic Surgery, we are committed to helping women feel confident and beautiful after breast cancer. Contact us today to learn more about SIEA flap breast reconstruction and how we can help you achieve your goals.

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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.