The DIEP flap is a significant surgery, in that it can be a lengthy procedure averaging 4-8 hours, depending on size of the breast, size of the patient, unilateral or bilateral reconstruction, and unforeseeable anatomical variations that can increase the technical difficulty of the surgery. The hospital stay is a minimum of 3 days and the recovery can be relatively difficult, taking 4-6 weeks to get back to normal. There is also a small but real chance that a blood transfusion will be necessary. Patients can donate their own blood in advance if time permits. There is also a sizable scar left on the abdomen, although similar to that left by a tummy tuck.
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