Introduction: A Gold Standard for Natural Breast Reconstruction
If you’ve had or are planning a mastectomy, choosing the right reconstruction option is one of the most important medical decisions you’ll make. In Springfield, MA, women have access to the DIEP flap procedure — widely considered the gold standard in breast reconstruction.
At Baystate Medical Center, the fellowship-trained microsurgeons of The DIEP Group specialize in this advanced reconstruction. Unlike implants, DIEP flap uses your own natural tissue for results that look and feel like part of your body. Best of all, DIEP flap reconstruction is covered by insurance, whether it’s performed at the time of mastectomy or years later — even if you’ve already had implant reconstruction.
We proudly serve women across Western Massachusetts, including Springfield, Pittsfield, Amherst, Worcester, Northampton, Chicopee, Holyoke, Westfield, and surrounding towns.
Visit our Before and After DIEP Flap Gallery
What Is DIEP Flap Breast Reconstruction?
The Deep Inferior Epigastric Perforator (DIEP) flap is an autologous breast reconstruction technique that transfers skin and fat from the lower abdomen to the chest to create a new breast after mastectomy.
- No muscle is taken — unlike the older TRAM flap procedure.
- Tiny blood vessels are reconnected using microsurgery.
- The new breast is soft, warm, and natural because it’s made of your own tissue.
- The abdomen benefits from a tummy tuck effect, leaving it flatter and more contoured.
Why Choose The DIEP Group at Baystate Medical Center?
Not all surgeons or hospitals in Massachusetts perform DIEP flap reconstruction. It requires specialized microsurgical training and experience.
The DIEP Group offers:
- Fellowship-trained microsurgeons focusing exclusively on advanced breast reconstruction.
- High-volume experience with DIEP procedures across New England.
- Insurance expertise — we secure approvals and fight denials.
- Enhanced Recovery After Surgery (ERAS) protocols for shorter hospital stays and better pain control.
- Local access in Springfield, avoiding the need to travel into Boston.
DIEP Flap vs. Implants: The Key Differences
Common Problems with Implants
- Capsular contracture: Hard, painful scar tissue forming around the implant.
- Radiation complications: Radiation often causes implant deformity, pain, or poor healing.
- Rupture or leakage: Silicone implants can break down over time.
- Recalled implants: Some textured silicone implants have been recalled for safety reasons.
- Multiple surgeries: Implants typically require replacement every 10–15 years.
Why DIEP Flaps are Better in Some Cases
- Permanent result: No need for future exchanges.
- Natural look and feel: Warm, soft, and responsive like normal breast tissue.
- Adapts with your body: Increases or decreases with weight changes, ages naturally.
- No risk of leakage or rupture.
- Better outcomes after radiation.
Switching from Implants to DIEP Flaps
Many women in Western Massachusetts come to us after experiencing implant complications. But you don’t need to have implant problems to make the switch — insurance covers DIEP flap reconstruction at any time.
- You can choose DIEP flap immediately at mastectomy.
- You can switch years later, even if your implants are intact.
- Insurance still covers it if you simply want a permanent, natural alternative.
- This avoids the cycle of implant exchanges every decade and the anxiety of possible silicone leaks.
The Added Benefit: Abdominal Contouring
One of the most popular patient questions is: “Do I get a tummy tuck with DIEP flap reconstruction?”
The answer: Yes — you’ll experience a tummy tuck–like effect.
Because the tissue is taken from your lower abdomen, patients often see:
- A flatter, smoother belly
- Removal of excess abdominal skin and fat
- An improved waistline contour
- Benefits similar to an abdominoplasty (though the primary goal is breast reconstruction)
Who Is a Candidate for DIEP Flap Reconstruction?
You may be a good candidate if:
- You’re undergoing mastectomy for breast cancer or prophylaxis.
- You’ve had previous implant reconstruction but want a more natural, permanent option.
- You’ve experienced implant complications (capsular contracture, rupture, recall).
- You have sufficient abdominal tissue for transfer.
- You’re healthy enough for surgery and willing to commit to recovery.
Recovery After DIEP Flap Surgery
At Baystate Medical Center, recovery is supported by a specialized care team.
- Hospital stay: 2 days with close monitoring of flap blood flow.
- Pain control: ERAS pathways reduce opioid needs.
- Activity: Walking encouraged right away; desk work after 3–4 weeks.
- Full recovery: Most patients return to normal life within 6–8 weeks.
- Scars: One low abdominal scar and breast scars that fade over time.
Insurance Coverage in Massachusetts
Thanks to the Women’s Health and Cancer Rights Act (WHCRA), insurance must cover:
- DIEP flap reconstruction after mastectomy
- Surgery on the opposite breast for symmetry
- Revisions and touch-ups
- Nipple reconstruction and tattooing
Common carriers in Massachusetts that we work with include Blue Cross Blue Shield, Tufts, Harvard Pilgrim, Cigna, Aetna, and UnitedHealthcare.
We manage the entire preauthorization and appeals process on your behalf.
Patient Testimonial
“I had implants placed after my mastectomy, but after radiation they became hard and painful. I wanted something permanent and natural. The DIEP Group team at Baystate helped me switch to DIEP flap reconstruction, and now I feel like myself again. My breasts are soft, warm, and natural, and I love the flatter stomach, too.”
— E.H., Worcester, MA
Frequently Asked Questions (FAQ)
Can I switch from implants to DIEP flap years after my mastectomy?
Yes. Insurance covers DIEP flap reconstruction at the time of mastectomy or any time afterward — even if your implants aren’t causing problems.
Is DIEP flap the same as a tummy tuck?
Not exactly, but you’ll get a similar benefit — a flatter, contoured abdomen as part of the procedure.
Is DIEP flap covered by insurance in Massachusetts?
Yes. All major insurers cover autologous breast reconstruction under WHCRA.
How long does surgery take?
Typically 6–8 hours for bilateral reconstruction.
Is DIEP flap safe after radiation?
Yes. DIEP flap is actually recommended for many women who’ve had radiation, as tissue heals better than implants in radiated areas.
What if my implants are recalled?
Insurance covers implant removal and DIEP flap reconstruction in these cases as well.
Internal Links (Springfield Series)
- DIEP Flap Breast Reconstruction in Springfield, MA — Complete Guide
- DIEP Flap Recovery in Springfield, MA — What to Expect
- Insurance Coverage for DIEP Flap Surgery in Massachusetts
Serving Springfield and Western Massachusetts
We proudly serve patients from Springfield, Worcester, Amherst, Pittsfield, Northampton, Chicopee, Holyoke, Westfield, and all of Western MA at Baystate Medical Center.
Take the Next Step
If you’re considering breast reconstruction after mastectomy — whether you’re newly diagnosed, had radiation, or want to switch from implants — the DIEP flap offers a natural, permanent solution.
The DIEP Group
203-200-0828
Baystate Medical Center, Springfield, MA
