Dr. Ali Sadeghi brings a focused intensity to his breast reconstructive patients. His main interest is in advancing the quality of breast reconstruction, and he is an expert in the revolutionary DIEP flap breast reconstruction procedure, reconstructing breasts from a patient’s abdominal fat.
Also known as the “tummy tuck flap,” this procedure removes excess skin and fat from the lower abdomen without muscle sacrifice. Deep Inferior Epigastric Perforator (DIEP) flap breast reconstruction differs from procedures of the past in abdominal muscle is not removed, allowing for both quicker recovery time and maintenance of core strength. The older versions of this abdominal flap known as the TRAM flap sacrifices part or all of the rectus abdominis muscle (6 pack muscle) causing core strength weakness, abdominal hernias or bulges. For this reason, the TRAM flap is not used in our practice. We exclusively use abdominal tissue in the form of DIEP flaps for breast reconstruction.
Another way the abdominal tissue can be used for breast reconstruction is in the form of the Superficial Inferior Epigastric Artery (SIEA) flap. Like the DIEP, this procedure allows the surgeon to only use the fat and skin from the abdominal wall in your lower abdomen based on its superficial blood supply. Again, abdominal muscle is left intact, which allows you to continue to use the abdominal muscles to maintain their core strength.