DIEP Breast Reconstruction

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Procedure Performed By:

Mr Richard Hanson

MB, MCh, FRCS (plast)

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Irish trained surgeon – member of The Irish Association of Plastic Surgeons (IAPS)

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Graduated from UCD (University College Dublin) in 1997.

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Irish trained surgeon – member of The Irish Association of Plastic Surgeons (IAPS)

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Graduated from UCD (University College Dublin) in 1997.

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Completed both basic and higher surgical plastic training in The Royal College of Surgeons in Ireland

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Extensive training throughout units in Ireland, the UK and Australia. Completed an Aesthetic Fellowship in the UK.

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Mr Richard Hanson is a Specialist Registrar with the Irish Medical Council for Plastic Reconstructive and Aesthetic Surgery.

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Mr Richard Hanson was appointed Consultant Surgeon, Plastic and Reconstructive Surgeon to the Mater Misericordiae University Hospital, Eccles Street, Dublin.

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Completed both basic and higher surgical plastic training in The Royal College of Surgeons in Ireland

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Extensive training throughout units in Ireland, the UK and Australia. Completed an Aesthetic Fellowship in the UK.

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Mr Richard Hanson is a Specialist Registrar with the Irish Medical Council for Plastic Reconstructive and Aesthetic Surgery.

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Mr Richard Hanson was appointed Consultant Surgeon, Plastic and Reconstructive Surgeon to the Mater Misericordiae University Hospital, Eccles Street, Dublin.

Restore Shape, Balance and Confidence with Natural Breast Reconstruction Surgery

Following a mastectomy, many women seek a way to restore breast shape using their own tissue. DIEP breast reconstruction offers a highly advanced and natural approach, rebuilding the breast using skin and fat from the lower abdomen, without sacrificing core muscle.

Whether performed immediately after mastectomy or delayed until a later stage, DIEP flap surgery provides long-term, natural-looking results. At The Hanson Clinic, we offer personalised reconstructive care for women in Dublin, using microsurgical techniques to restore breast contour, symmetry and softness with lasting outcomes.

What Is DIEP Breast Reconstruction?

DIEP (Deep Inferior Epigastric Perforator) flap breast reconstruction is a microsurgical procedure that uses your own abdominal skin and fat to reconstruct one or both breasts after mastectomy. Unlike older methods that remove muscle, the DIEP flap preserves the abdominal muscles, helping to maintain core strength and reduce recovery complications.

This form of autologous breast reconstruction is an advanced option for women who prefer not to use implants or who have undergone radiation therapy and require tissue-based reconstruction. It offers the most natural feel and shape, as the reconstructed breast is made from the body’s own tissue.

Surgery Time

2 Hours

Anesthesia

General

Hospital Stay

Usually 1 Night

Time to Exercise

6 Weeks

Downtime

1 – 2 weeks

Driving

2 Weeks

Pre-Admission

No smoking / vaping
x 6 weeks
Off HRT /
OCP x 6 weeks

Follow-Up

1 week post op / 1 month / 3 months / 6 months / 1 year

Who Is DIEP Breast Reconstruction For?

This procedure is suitable for women who:

  • Have had or are planning a mastectomy
  • Have sufficient abdominal tissue to reconstruct one or both breasts
  • Prefer a natural, implant-free result
  • Are in good overall health for surgery and recovery
  • Have realistic expectations about outcomes and healing time

A detailed consultation with Mr Hanson will determine if DIEP flap surgery is the most suitable option for your needs and anatomy. In some cases, alternative methods such as implant-based or hybrid reconstruction may be explored.

Benefits of DIEP Breast Reconstruction

Choosing DIEP flap surgery offers several advantages over traditional methods:

  • Natural texture, warmth and movement of the reconstructed breast
  • No need for implants or foreign materials
  • Abdominal muscles are left intact, preserving core strength
  • Lower risk of long-term complications compared to implant-based reconstruction
  • Improved breast symmetry, particularly when combined with nipple reconstruction or contralateral surgery
  • Dual benefit of breast reconstruction and abdominal contouring

How the DIEP Flap Procedure Works

DIEP breast reconstruction, natural breast reconstruction, long-term breast surgery results

How the DIEP Flap Procedure Works

DIEP flap breast reconstruction is performed under general anaesthetic and typically requires a hospital stay of several days. During the surgery:

  • Skin and fat from the lower abdomen are carefully harvested, preserving the abdominal muscles
  • The tissue is transferred to the chest, where it is reshaped into a new breast mound
  • Using microsurgical techniques, the blood vessels are connected to vessels in the chest to restore blood flow
  • The abdominal site is closed and contoured, often providing a flatter profile similar to abdominoplasty

DIEP Breast Reconstruction at The Hanson Clinic

We are experts in the field of plastic and reconstructive surgery. We offer our patients the safest, most advanced and effective cosmetic treatments in a comfortable, relaxed and unhurried environment.

The Procedure

On the day of surgery, you’ll be cared for by an experienced surgical and anaesthetic team. Mr Hanson performs all DIEP breast reconstructions using refined microsurgical techniques designed to preserve muscle, restore symmetry and minimise scarring wherever possible.

Your Consultation

Your journey begins with a one-on-one consultation with Mr Richard Hanson, Consultant Plastic Surgeon. During this appointment, your medical history, surgical goals and body structure are carefully reviewed. Together, you’ll explore the most appropriate reconstructive options and develop a plan aligned with your health and lifestyle.

Recovery

Recovery involves a period of rest and limited activity. Most patients return to normal routines within 2 to 4 weeks, though complete recovery may take several months. Any discomfort can be managed with prescribed pain medication and our team will provide ongoing support throughout the process.

Recovery

Post-surgical recovery involves several weeks of healing, with the initial hospital stay followed by a period of rest at home. You’ll be supported with guidance on wound care, activity levels and scar management. Most women return to light daily activities within 3 to 4 weeks, with full recovery expected in 6 to 8 weeks. As healing progresses, the breast shape settles and scars fade naturally over time.

For further information on preparing for surgery and understanding what to expect during recovery, visit our Patient Information page.

Not Sure if DIEP Breast Reconstruction is Right For You?

Book an Initial Phone Consultation Today.

Risks and Considerations

As with any major surgery, DIEP breast reconstruction involves potential risks, including:

  • Delayed wound healing or infection
  • Fat necrosis (firm areas in the reconstructed breast)
  • Partial or total flap failure (rare with experienced microsurgeons)
  • Scarring at the breast and abdominal sites
  • Changes in abdominal sensation or contour

Choosing a surgeon with extensive microsurgical training, like Mr Hanson, significantly reduces the risk of complications and improves outcomes.

Why Choose The Hanson Clinic for Breast Reconstruction?

The Hanson Clinic is a leading provider of reconstructive breast surgery in Dublin, known for delivering precise, natural outcomes in a compassionate setting. Mr Richard Hanson combines advanced microsurgical training with an individualised approach, ensuring clients receive the highest standard of care throughout every stage of treatment.

With extensive experience in autologous and implant-based reconstruction, Mr Hanson is committed to restoring both form and function, with your long-term health and wellbeing at the heart of the process.

Irish Trained Surgeon

Irish-Trained Surgeon

Mr. Richard Hanson, a member of The Irish Association of Plastic Surgeons (IAPS), brings exceptional skill and extensive local training to every procedure. Trust your care to a surgeon with a reputation for excellence.

Dedicated Care Throughout

Dedicated Care Throughout

From your first consultation to post-operative recovery, our team is with you every step of the way. Expect consistent communication and unwavering support.

Continuity of Care

Continuity of Care

You’ll work with the same dedicated surgeon and team throughout your journey. Build trust and confidence with familiar faces who understand your needs.

Always Here for You

Always Here for You

No question is too small, and no concern is too big. Our team is readily available to address your needs, ensuring peace of mind at every stage.

5 Star Reputation

5-Star Reputation

Our patients consistently praise us for life-changing results and personalised care. Experience why we’re trusted and highly rated by so many.

Compassionate Personalised Experience

Compassionate, Personalised Experience

Every patient’s journey is unique, and we treat it that way. Enjoy a warm, supportive environment tailored to your individual goals.

Irish Trained Surgeon

Irish-Trained Surgeon

Mr. Richard Hanson, a member of The Irish Association of Plastic Surgeons (IAPS), brings exceptional skill and extensive local training to every procedure. Trust your care to a surgeon with a reputation for excellence.

Dedicated Care Throughout

Dedicated Care Throughout

From your first consultation to post-operative recovery, our team is with you every step of the way. Expect consistent communication and unwavering support.

Continuity of Care

Continuity of Care

You’ll work with the same dedicated surgeon and team throughout your journey. Build trust and confidence with familiar faces who understand your needs.

Always Here for You

Always Here for You

No question is too small, and no concern is too big. Our team is readily available to address your needs, ensuring peace of mind at every stage.

5 Star Reputation

5-Star Reputation

Our patients consistently praise us for life-changing results and personalised care. Experience why we’re trusted and highly rated by so many.

Compassionate Personalised Experience

Compassionate, Personalised Experience

Every patient’s journey is unique, and we treat it that way. Enjoy a warm, supportive environment tailored to your individual goals.

Meet
Mr Richard
Hanson

neet mr richard hanson

Consultant Plastic, Reconstructive and Aesthetic Surgeon

Mr Richard Hanson is a Consultant Plastic, Reconstructive and Aesthetic Surgeon, trained at Trinity College Dublin and renowned for his expertise in facial, body and breast surgery.

With specialist training across Ireland, Australia and the UK, he combines technical precision with a patient-centred approach, ensuring clear communication and realistic expectations.

A member of IAPS, BAAPS and ISAPS, Mr Hanson is dedicated to delivering natural, balanced results while fostering trust and confidence throughout each patient’s journey.

How to schedule a consultation

To book an appointment with Mr Hanson, please call us on 0873735089
or 01-526-2235, email us at richard.hanson@imeddoc.net, or complete an online form via our website.

FAQ

Can both breasts be reconstructed with DIEP flap?

Yes, it is possible to reconstruct both breasts using DIEP flap surgery, either in a single operation (bilateral reconstruction) or over two stages. The amount of available abdominal tissue largely determines whether one or both breasts can be reconstructed at the same time. Your surgeon will assess this during your consultation.

Yes, DIEP flap surgery leaves a scar across the lower abdomen, similar to a tummy tuck scar. Surgeons place the incision low enough to be hidden beneath underwear or swimwear. Over time, with good care, most abdominal scars fade significantly, although some degree of visible scarring should be expected as a normal part of healing.

DIEP flap breast reconstruction often provides a more natural look, feel and movement compared to implants. It also avoids implant-related risks such as rupture or capsular contracture. However, the best choice depends on individual anatomy, recovery goals and medical history, making a personal consultation essential to determine the most appropriate option.

DIEP breast reconstruction is often a preferred option after radiation therapy, as it brings healthy, vascularised tissue to the chest area. This can help improve the quality of the skin and support better healing. However, prior radiation may slightly increase the risk of healing complications, which will be considered during surgical planning.

The DIEP flap and TRAM flap both use abdominal tissue to reconstruct the breast, but with a key difference: DIEP flap preserves the abdominal muscles, while TRAM flap removes some or all of the muscle. By sparing the muscle, DIEP flap surgery typically leads to quicker recovery, less risk of abdominal weakness and a stronger long-term outcome.

This article is not intended to be used for diagnosis or treatment. It is aimed at presenting a perspective only and is not a substitute for a prescription. Anyone experiencing a medical condition should consult their doctor.

Our Clinic

  • Hanson Clinic
    Suite 2, Sports Surgery Clinic
    Santry, Dublin 9
    D09 PPX9

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*The initial phone consultation is performed by our cosmetic coordinator.

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