Breast Reconstruction (DIEP Flap & Microsurgery)

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Specialized post-operative instructions for flap-based reconstruction

FLAP MONITORING IS CRITICAL

A transferred flap must be   monitored closely for the first 72 hours. Report any changes in color,   temperature, or texture of the reconstructed breast immediately.

Flap Monitoring — Know the Warning Signs

• Normal: Warm, soft, pink tissue that matches or is close to the color of your surrounding skin.

• Arterial problem (call immediately): Flap appears pale, white, or mottled and feels cold.

• Venous problem (call immediately): Flap appears dark blue or purple and feels congested or firm.

• When in doubt, call. Flap compromise is a surgical emergency and time is critical.

Hospital Recovery

• You will remain in the hospital for 3–5 days. Nursing staff will monitor the flap hourly.

• Bedrest with careful positioning is required for the first 48 hours to protect the blood supply.

• A urinary catheter and sequential compression devices on your legs will be in place initially.

Donor Site (Abdomen) Care

• You will have an abdominal incision similar to a tummy tuck. Care for it as instructed.

• An abdominal binder will be worn for 4–6 weeks — wear it at all times except showering.

• Keep hips slightly flexed when standing or walking for the first 1–2 weeks to reduce tension.

• No lifting over 10 lbs for 6 weeks. Core exercises resume at 8–12 weeks.

Long-Term Recovery

• Full recovery from DIEP flap reconstruction takes 6–12 weeks.

• Nipple reconstruction, if planned, is a separate outpatient procedure done 3–6 months later.

• Tattooing of the areola is typically the final step, done 3+ months after nipple reconstruction.

• Follow-up appointments are more frequent in the first 4–6 weeks — please keep all scheduled visits.