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DIEP Flap Revision & Second Opinion

DIEP Flap Revision & Second Opinion
Introduction

DIEP flap revision is one of the most important, and most underappreciated, stages of the breast reconstruction journey. We do not view revision surgery as a sign of failure. We view it as an expected and essential step toward your best possible result.

It is exceedingly uncommon for a patient to achieve their best possible outcome from the initial DIEP flap alone. A well-executed primary reconstruction can produce a very good result. But secondary revision is what takes it from good to great. In the primary setting, there is only so much that can be done to refine shape, position, and symmetry. Revision surgery allows us to address these elements deliberately, with the full picture in front of us.

What revision involves

We approach these cases as sitting at the intersection of reconstructive and aesthetic surgery. Achieving an excellent outcome requires deep microsurgical expertise combined with the aesthetic judgment and technical toolkit of a cosmetic surgeon. No two patients are alike, and the combination of techniques varies accordingly.

Common goals of DIEP flap revision include:

  • Improving breast shape, symmetry, and position
  • Refining the donor site, including scar placement and contour
  • Addressing concerns with the nipple-areolar complex
  • Fat grafting, reshaping, and scar revision, frequently as part of the same plan

Why a single surgery is rarely enough

Too many patients are told their reconstruction looks fine, even when they feel it does not. We do not accept that standard.

Achieving a truly excellent result requires time. Time in the consultation to genuinely listen. Time in preoperative planning to analyze the anatomy carefully. Time in the operating room to execute with precision. In large healthcare systems, these time constraints are a significant barrier to exceptional outcomes. We have structured Altris specifically to remove those barriers.

When a second opinion makes sense

If you have been told your result is as good as it gets, but it does not feel that way to you, a second opinion is appropriate. We welcome patients who want an honest, experienced assessment of what is achievable. Our goal is never to tell you what you want to hear. It is to give you an accurate picture of your options and work tirelessly toward the best possible outcome.

our philosophy

Altris was born out of a simple but urgent observation: our patients are surviving at rates higher than ever before and yet, too many of them are not thriving.

After years in clinical practice, we have watched patients complete treatment, receive a clean bill of health, and still feel like strangers in their own bodies. Fragmented care, time-pressured appointments, and a healthcare system focused on disease management rather than whole-person recovery leaves too many people stranded between surviving and truly living.

We believe we can do better. We believe we must.

Survivor Stories

Real patient transformations showcasing refined reconstruction, natural outcomes, and restored confidence - helping you visualize what’s possible and feel informed.

Testimonials

Restoring confidence, one patient at a time
I am so grateful for the care I received from Dr. Thanik. Throughout my complex reconstruction process, he met every challenge with confidence and ease.
Heather M
The procedure has made a profound difference in my life. I feel more comfortable, confident, and at ease in my daily life. I am beyond grateful to Dr. Weichman.
Lety H
Dr. Thanik’s compassion, guidance, and artistry helped transform my healing journey after cancer into a positive and hopeful experience.
Jane E

Why Choose Us

A higher standard of care, for every stage of your journey

Elite Surgical Expertise

Expertise

Board-certified surgeons delivering precise, natural, long-lasting reconstruction results.

Whole-Body Care

Whole-body

Support beyond surgery: nutrition, recovery, mental health, and well-being.

Secondary Reconstruction Specialists

Specialists

Experts in revision cases, restoring confidence after previous outcomes.

Personalised, Unrushed Care

Personalized

Private consultations focused on you, your goals, and long-term results.
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confidential consult

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