Where Are DIEP Flap Scars Located?
After DIEP flap surgery, patients typically have two areas of scarring:
- Abdomen: A horizontal scar forms across the lower abdomen, similar to that of a tummy tuck. The abdominal scar is generally positioned low on the torso, allowing it to stay concealed beneath most clothing, including undergarments or swimsuits.
- Reconstructed Breast: The breast area may have scars depending on the surgical approach. These could be around the areola or along previous incision sites if a mastectomy was performed.
The DIEP Flap Scar Healing Process
The recovery process is different for everyone, and scar development tends to follow an individual pace. In the early stages, it’s common for scars to look slightly swollen, discoloured, or feel firmer than the surrounding skin. Over the following months, they usually soften, flatten, and fade.
Key Insight
Scars typically improve in appearance over time with proper care.
Timeline:
- First few weeks: Scars can look pink or swollen. This phase is part of the body’s natural healing process as the skin and deeper tissues begin to repair and adjust.
- 2 to 6 months: Scars start becoming lighter and less prominent.
- 6 months to 1 year: Continued fading, with many scars becoming smooth and blending with the skin tone over time.
How to Treat DIEP Flap Scars
While it’s not possible to eliminate scars, there are effective ways to support healing and make them less noticeable over time.
- Silicone-based products: Gels or sheets with medical-grade silicone can reduce thickness and texture.
- Scar massage: Gentle massage (once approved by your surgeon) can support flexibility and circulation in the scar tissue.
- Hydration and skincare: Moisturising the skin around the scar promotes softness and reduces dryness.
- Protect from sun exposure: Shield the healing area from direct sunlight by covering it or applying a high-SPF sunscreen to prevent darkening of the scar.
- Advanced treatments: Options like laser therapy or microneedling can be considered for scars that remain noticeable after full healing.
Dr. Rachana Tataria, a skilled breast reconstruction specialist in Mumbai, uses refined surgical techniques that aim to minimise visible scarring and support long-term aesthetic outcomes.
When to Seek Help
While most scars follow a normal healing course, contact your surgeon if you notice:
- Significant thickening or itchiness
- Unusual pigmentation or irritation
- Pain or tightness that interferes with movement
Early intervention often leads to better outcomes.
FAQs
Where are the scars located after DIEP flap surgery?
Scars usually appear on the lower abdomen and the reconstructed breast. The abdominal scar is low enough to be hidden by most clothing, while the breast scars depend on surgical technique.
What treatments help reduce scarring after DIEP flap reconstruction?
Using silicone-based scar products, massaging the area after healing, moisturising, sun protection, and in some cases, medical treatments like lasers or microneedling can all help improve scar appearance.